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외이도에 발생한 동정맥기형 1예

A Case of Arteriovenous Malformation in the External Auditory Canal

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초록

Benign vascular tumors are relatively common in the head and neck region, but are rarelyfound in the ear. Among vascular tumors, infantile hemangioma stands as the prevailing enti-ty, characterized by a rapid initial proliferation of endothelial cells, succeeded by a gradual re-gression over the course of several years. In contrast, arteriovenous malformation (AVM) is aless common phenomenon, originating from peripheral vascular anomalies during embryo-genesis, and it does not undergo spontaneous regression. Specifically, the occurrence of AVMwithin the external auditory canal are exceedingly uncommon. Here, we describe a case of a49-year-old male patient who had a mass incidentally discovered in the external auditory ca-nal, but refused initial treatment. He later returned as the mass enlarged. This case could havebeen clinically misdiagnosed as a hemangioma, but was ultimately diagnosed pathologically as an AVM.

Abstract

Benign vascular tumors are relatively common in the head and neck region, but are rarelyfound in the ear. Among vascular tumors, infantile hemangioma stands as the prevailing enti-ty, characterized by a rapid initial proliferation of endothelial cells, succeeded by a gradual re-gression over the course of several years. In contrast, arteriovenous malformation (AVM) is aless common phenomenon, originating from peripheral vascular anomalies during embryo-genesis, and it does not undergo spontaneous regression. Specifically, the occurrence of AVMwithin the external auditory canal are exceedingly uncommon. Here, we describe a case of a49-year-old male patient who had a mass incidentally discovered in the external auditory ca-nal, but refused initial treatment. He later returned as the mass enlarged. This case could havebeen clinically misdiagnosed as a hemangioma, but was ultimately diagnosed pathologically as an AVM.

참고문헌 (11)

  1. Cho KH, "A case of capillary hemangioma i n the external auditor y canal", Korean J Otorhinolaryngol-Head Neck Surg, 44(9), pp.993~996 (2001)
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  3. Kim YJ, "A case of benign vascular tumor of tympanic membrane", Korean J Otorhinolaryngol-Head Neck Surg, 58(4), pp.290~293 (2015)
  4. Song SY, "Cavernous hemangioma of the external auditory canal : a case report", Korean J Otorhinolaryngol-Head Neck Surg, 49(8), pp.845~848 (2006)
  5. Kim SH, "Arteriovenous malformation of the external ear : a clinical assessment with a scoping review of the literature", Braz J Otorhinolaryngol, 83(6), pp.683~690 (2017)
  6. Mulliken JB, "Hemangiomas and vascular malformations in infants and children : a classification based on endothelial characteristics", Plast Reconstr Surg, 69(3), pp.412~422 (1982)
  7. Kunimoto K, "ISSVA classification of vascular anomalies and molecular biology", Int J Mol Sci, 23(4), pp.2358~ (2022)
  8. Raghu M, "Spontaneous arteriovenous malformation of the external auditory meatus", J Laryngol Otol, 118(11), pp.912~913 (2004)
  9. Chakeres DW, "Soft-tissue abnormalities of the external auditory canal : subject review of CT findings", Radiology, 156(1), pp.105~109 (1985)
  10. Prasad KC, "Spontaneous arteriovenous malformation of the ear", Indian J Otolaryngol Head Neck Surg, 63(Suppl 1), pp.19~22 (2011)
  11. Sannier K, "A new sclerosing agent in the treatment of venous malformations : study on 23 cases", Interv Neuroradiol, 10(2), pp.113~127 (2004)

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