Adenocarcinoma of Ceruminous Glands: Role of the VMAT
Journal Title: Archives of Otolaryngology and Rhinology - Year 2016, Vol 2, Issue 1
Abstract
Adenocarcinoma of the ceruminous glands is a rare malignancy arising from the glands of the external auditory canal. In most patients it is usually diagnosed as locally advanced disease with a major obstacle for radical surgery. Here, we describe two cases of patients suffering of sudden hearing loss and ipsilateral facial hemiparesis due to tumors arising from the ceruminous glands with primary intracranial involvement and subsequent middle ear infiltration. The patient with local-advanced disease underwent surgery followed by adjuvant treatment, whereas the other patient with advanced disease only to palliative therapy. However, both of them received volumetric-modulated arc radiotherapy (VMAT) resulting in complete remission as adjuvant treatment in the first patients while extending the survival as palliation in the second one. Thus, VMAT appears a suggested approach in this tumor which management is still poorly defined.
Authors and Affiliations
Vallarelli Simona, Stucci Stefania, Tucci Marco, Quaranta Nicola, Russo Donatella, Moschetta Marco, Silvestris Franco
Keywords
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- EP ID EP352040
- DOI 10.17352/2455-1759.000013
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