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Cutaneous Carcinoma of the Auricular and Periauricular Region
Philip L. Bailin, MD;
Howard L. Levine, MD;
Benjamin G. Wood, MD;
Harvey M. Tucker, MD
Arch Otolaryngol. 1980;106(11):692-696.
Abstract
• Cutaneous carcinoma of the auricular and periauricular region can be diagnosed early and often cured; however, many of these tumors become difficult to treat because of local spread and regional metastasis. We have treated 122 patients with 145 cutaneous carcinomas of the auricular and periauricular region with either Mohs' histographic surgery or conventional excision with total microscopic marginal control. Inherent in these treatment modalities is the construction of detailed serial tissue maps for each tumor. From these maps, a three-dimensional composite for each tumor is derived, giving information about the direction of local spread of the tumors. The tumors have been found to extend locally through soft tissue into perichondrial, periosteal, and neurovascular planes, allowing for more distant occult spread. This knowledge of such patterns of tumor spread can be useful in planning treatment.
(Arch Otolaryngol 106:692-696, 1980)
Author Affiliations
From the Department of Dermatology, Section of Histographic Surgery (Mohs) and Oncology (Dr Bailin), and the Department of Otolaryngology and Communicative Disorders (Drs Levine, Wood, and Tucker), Cleveland Clinic Foundation.
Footnotes
Accepted for publication July 11, 1980.
Read before the American Society for Head and Neck Surgery, Palm Beach, Fla, April 16, 1980.
Reprint requests to Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Levine).
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ABSTRACT
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