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2021, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2021; 19 (3)

Auricular skin cancer: epidemiology and clinical presentation, a 33-year experience from a reference center

Villela-Segura U, Alcalá-Pérez D
Full text How to cite this article

Language: Spanish
References: 11
Page: 306-309
PDF size: 121.32 Kb.


Key words:

skin cancer, auricular cancer, epidemiology.

ABSTRACT

Introduction: the non-melanoma skin cancer is the most common cutaneous malignant tumor, being the head is the most affected localization. The auricular presentation occurs in the 6% of the cases. The epidemiological and clinical data regarding this anatomic site is scarce.
Material and methods: this was a retrospective, descriptive, and retrolective study held in the Centro Dermatológico Dr. Ladislao de la Pascua, Mexico City. The data was collected from the year 1987 to 2020. We registered information regarding age, gender, type of tumor, histological variety, localization, affected site, and treatment.
Results: we included 258 patients, the 53.4% were woman and the 46.5% men. The most frequent tumor was the basal cell carcinoma (BCC) in the 67.06% of the cases, followed by the squamous cell carcinoma (SCC) in the 25.2%, melanoma in 3.87%, and other tumors in 3.87%. The most frequent localization was pre-auricular region in 41.47% patients, followed by helix 31.78%, retro-auricular region in 18.99%, infra-auricular region in 2.71%, lobule in 1.93%, antihelix in 1.55%, concha in 1.16%, and tragus in 0.38%. The left side was the most affected in 54.58%. The most common histology variant for BCC was the nodular in 42.69%, followed by the infiltrating in 29.82%, basosquamous in 8.18%, adenoid in 6.43%, superficial in 5.8%, morpheaform in 3.51%, cystic in 2.39% and micro-nodular in 0.58%. In the case of the SCC, the 57.14% of the patients had well differentiated tumors, 6.12% moderately differentiated, and poorly differentiated in 4.08%. Regarding melanoma the 80% of the tumors were superficial spreading, the 10% were lentigo maligna, and the 10% nodular
Conclusions: in our population the auricular skin cancer predominated in women (53.4%). The most common tumor was the BCC in 67.06%, followed by SCC in 25.2% and melanoma in 3.87%. The historical variant of bcc that predominated was nodular in 42.69%. Anatomical localization favored the preauricular area in 41.47% with left side predominance


REFERENCES

  1. Ulrike L, Ulrike K y Claus G, Epidemiology of skin cancer: update 2019, Adv Exp Med Biol 2020; 1268:123-39.

  2. Alfaro-Sánchez A, García-Hidalgo L, Casados-Vergara R et al., Cáncer de piel. Epidemiología y variedades histológicas, estudio de cinco años en el noreste de México, Dermatol Rev Mex 2016; 60:106-13.

  3. Pless J, Carcinoma of the external ear, Scand J Plast Reconstr Surg 1976; 10:147-51.

  4. Ragi JM, Patel D, Masud A y Rao BK, Nonmelanoma skin cancer of the ear: frequency, patients’ knowledge, and photoprotection practices, Dermatol Surg 2010; 36:1232-9.

  5. Silapunt S, Peterson SR y Goldberg LH, Squamous cell carcinoma of the auricle and Mohs micrographic surgery, Dermatol Surg 2006; 31:1423-7.

  6. Mohs F, Larson P e Iriondo M, Micrographic surgery for the microscopically controlled excision of carcinoma of the external ear, J Am Acad Dermatol 1988; 19:729-37.

  7. Duffy KL, McKenna JK, Hadley ML y Tristani-Firouzi P, Nonmelanoma skin cancers of the ear: correlation between subanatomic location and post-Mohs micrographic surgery defect size, Dermatol Surg 2009; 35:30-3.

  8. Demers AA, Nugent Z, Mihalcioiu C, Wiseman MC y Kliewer EV, Trends of nonmelanoma skin cancer from 1960 through 2000 in a Canadian population, J Am Acad Dermatol 2005; 53:320-8.

  9. Ahmad I y Das Gupta AR, Epidemiology of basal cell carcinoma and squamous cell carcinoma of the pinna, J Laryngol Otol 2002; 115:85-6.

  10. Jarell AD y Mully TW, Basal cell carcinoma on the ear is more likely to be of an aggressive phenotype in both men and women, J Am Acad Dermatol 2012; 66:780-4.

  11. Cris, an D, Horat,iu AC, Manea A et al., Retrospective analysis of complication rates associated with auricular reconstruction after skin cancer surgery, J Cutan Med Surg 2020; 24:137-43.




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Dermatología Cosmética, Médica y Quirúrgica. 2021;19