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Sebaceoma of the auricle

Published online by Cambridge University Press:  08 June 2012

J P Jacobson ,
A Weisstuch ,
C Hajdu  and
D Myssiorek
J P Jacobson*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, NYU Langone Medical Center, New York, USA
A Weisstuch
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, NYU Langone Medical Center, New York, USA
C Hajdu
Affiliation:
Department of Pathology, NYU Langone Medical Center, New York, USA
D Myssiorek
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, NYU Langone Medical Center, New York, USA
*
Address for correspondence: Dr Joel Jacobson, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Blvd, Suite 5200, Sacramento, CA 95817, USA E-mail: jpjacobs2002@yahoo.com
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Abstract

Objective:

To report a case of sebaceoma of the auricle, and to discuss the differential diagnosis, histopathological features, surgical management and genetic associations of this entity.

Methods:

Case report and review of the medical literature.

Results:

A 79-year-old man presented with a slowly growing lesion of his auricle. Excision of the mass and histopathological review revealed a benign, basaloid, adnexal neoplasm consistent with sebaceoma. Due to its association with Muir–Torre syndrome and increased risk of visceral malignancy, the patient was followed closely for signs of malignancy. At 36 months post-excision, there were no signs of recurrence; thereafter, the patient continued to receive routine cancer surveillance follow up.

Conclusion:

Sebaceoma is a rarely encountered, benign, adnexal neoplasm which can occur in the head and neck. The treatment is surgical excision, and recurrence is rare. Sebaceoma can occur as part of Muir–Torre syndrome, and in these patients there is an increased risk of other sebaceous lesions and visceral malignancy; thus, genetic testing and surveillance should be strongly considered.

Keywords

Sebaceous Gland NeoplasmsEar, AuricleMuir-Torre SyndromePathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 830 - 832
Copyright
Copyright © JLO (1984) Limited 2012

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