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‘Ceruminoma’ – a defunct diagnosis

Published online by Cambridge University Press:  29 June 2007

Richard G. Mills*
Affiliation:
Department of Otolaryngology, University Hospital of Wales, Cardiff.
Tony Douglas-Jones
Affiliation:
Department of Histopathology, University Hospital of Wales, Cardiff.
R. Gareth Williams
Affiliation:
Department of Otolaryngology, University Hospital of Wales, Cardiff.
*
Address for correspondence: Mr R. G. Mills, F.R.C.S., University Hospital of Wales, Heath Park, Cardiff, UK

Abstract

The clinical and pathological features of glandular tumours of the external auditory meatus are presented. Their heterogenous clinical and pathological features make the collective term ‘ceruminoma’ ambiguous andmisleading. The spectrum of pathological behaviour and histological features demonstrated by these interesting tumours necessitate a broader classification system. In our hospital 32 patients presented with tumours of the external auditory meatus over a 30-year period, of which seven were glandular in origin. A review of the histology of these glandular tumours enabled us to reclassify them as adenoma, cylindroma, adenoid cystic carcinoma or ceruminous adenocarcinoma. Together with the less common mucoepidermoid carcinoma and pleomorphic adenoma this subdivision forms a basis for a more meaningful classification system with prognostic and therapeutic implications specific to each tumour type. The term ‘ceruminoma’ should no longer be used unqualified.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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