T-cell prolymphocytic leukemia presenting as an ear canal mass.

Publication/Presentation Date

11-1-2004

Abstract

OBJECTIVE: We discuss the first reported case of a chronic leukemia involving the external auditory canal.

STUDY DESIGN: Case report and review of the literature (Medline, 1962-2003).

METHODS AND RESULTS: An adult man in good health came to receive medical attention because of a sensation of aural fullness. Radiologic and physical examination demonstrated an ovoid soft tissue mass of the lateral external auditory canal that, after biopsy and flow cytometry studies, was found to be T-cell prolymphocytic leukemia. The patient presented with minimal disease in a highly symptomatic location, allowing early initiation of therapy and extending his life by nearly four times the average life expectancy for this aggressive chronic leukemia.

CONCLUSION: Lymphomas of the external auditory canal are extremely rare neoplasms. Only a few cases have previously been reported, and all of the previous reports involve acute leukemias. This report indicates that chronic leukemias can present with otologic manifestations such as an external auditory canal mass.

Volume

25

Issue

6

First Page

1006

Last Page

1008

ISSN

1531-7129

Disciplines

Medicine and Health Sciences

PubMedID

15547434

Department(s)

Department of Surgery, Division of Otolaryngology

Document Type

Article

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