Spinocellular carcinoma of the pinna; carcinoma of the auricle,
Carcinoma of the earC44.2
DefinitionThis section has been translated automatically.
LocalizationThis section has been translated automatically.
Especially the Helix.
Clinical featuresThis section has been translated automatically.
A distinction is made between an exophytic growing and a primarily ulcerative form with possible destruction of the auricle.
TherapyThis section has been translated automatically.
- For small tumours (lens size)
:Wedge-shaped excisionwith 3 mm safety distance and wound closure. - Medium sized tumours (pea size):
- W-shaped excision and Y-shaped wound closure.
- Alternative: Star-shaped excision, defect closure by shifting to medial (Trendelenburg plasty).
- Alternative: U-shaped excision, covering of the defect with skin-cartilage flaps from retroauricular (gliding flap plastic).
- Large tumours (> 1 cm):
- U-shaped excision, defect coverage by means of rotation plasty.
- Very large tumours (> 3 cm):
- Amputation of the auricle, replacement by epithesis (to be attached to snap fasteners with implants).
- In case of metastases in the area of the cervical lymph nodes: additional neck dissection in the area of the affected side of the neck, radiotherapy if necessary.
- In case of distant metastases:
- Greatest possible reduction of the tumour mass and additional chemotherapy.
- Alternatively: Multimodal therapy.
Progression/forecastThis section has been translated automatically.
Metastasis in the regional lymph nodes in the jaw angle and in the cervical lymph nodes. Very rarely distant metastases.