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Myopericytoma of the external auditory canal and tragus

Published online by Cambridge University Press:  28 June 2013

N A Chotey
Affiliation:
Department of Anatomical Pathology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa National Health Laboratory Service, Durban, KwaZulu-Natal, South Africa
T K Naidu*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
V Naidoo
Affiliation:
Department of Anatomical Pathology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa National Health Laboratory Service, Durban, KwaZulu-Natal, South Africa
J Naidoo
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
*
Address for correspondence: Dr T K Naidu, Department of Otorhinolaryngology, Head and Neck Surgery, Nelson R Mandela School of Medicine, 719 Umbilo Rd, Durban 4001, KwaZulu-Natal, South Africa Fax: +27 (0)31 260 4480 E-mail: tesuven@gmail.com

Abstract

Background:

Myopericytoma is a relatively recently described skin and soft tissue tumour that demonstrates perivascular myoid cell or pericytic differentiation. Whilst the range of anatomical locations has expanded to include visceral locations, head and neck myopericytomas are rarely documented. There have been no previous reports of aural myopericytoma.

Case report:

This paper reports the clinicopathological features of a biopsy-proven, slow-growing, 20 × 20 mm, polypoid myopericytoma that involved the external auditory canal and tragus in an 18-year-old woman. Excision was curative.

Conclusion:

Heightened clinicopathological awareness of the expanding anatomical distribution of myopericytoma is critical to its diagnosis when it presents in unusual and novel locations. Myopericytoma should be added to the range of external auditory canal neoplasms, especially those characterised by an admixture of spindle cells and a prominence of blood vessels, including those with a haemangiopericytomatous pattern.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2013 

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