The International Tinnitus Journal

Temporal Bone Basaloid Squamous Cell Carcinoma: A Rare Case Report

External Auditory Canal (EAC) carcinoma is uncommon tumor of head and neck malignancies and the commonest histology is Squamous Cell Carcinoma (SCC). The variant of SCC known as Basaloid Squamous Cell Carcinoma (BSCC) is extremely rare in this anatomical site. BSCC may present along with squamous dysplasia of the surface mucosa or typical SCC. It shows advanced age group propensity and some studies shown tobacco and virus may be contributor factors. BSCC may presents with symptoms and signs mimicking other benign otologic lesions such as otitis externa and chronic suppurative otitis media. Thus, the final diagnosis is established late. Since it is rare neoplasm, not much studies reported and the gold standard of management is still controversial. Pittsburgh Staging System (PSS) was used to facilitate the best management for patient’s quality of life. Survival rate is better in earlier stage. Whereas an advance stage with positive surgical margin has poorer outcome. We present a 63-year old gentleman with chronic blood stain ear discharge which the final diagnosis was BSCC. The option of treatment and literature review will be discussed.