Global Dermatology Grand Rounds:
Case of the Month: May 1996
submitted by Dr. Rhett Drugge

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CASE HISTORY: A Recurrent Earlobe Tumor

PHYSICAL EXAMINATION: 2.7cm nodule on the right earlobe.

A 26 year old white female presents with a 10-year history of a bilateral lesion on the right posterior ear which has been surgically removed five times and treated with intralesional triamcinalone with no response.

Click on the image for magnification.

When the patient was fourteen years old, she got her ears pierced. Two years later, keloids developed on both of her ears, the larger being on the right ear. Her first operation was at the age of sixteen, when the keloid from the right ear was removed. It took it a year and a half to grow back, and grew back larger than before. At that time, the pateint was serving in the army, where she went to a plastic surgeon who decided to remove it.

Two years after her initial operation, the keloid was removed again. It took twelve months to grow back, and had again significantly increased in size.The patient was still in the army when the same doctor removed the keloid for the third time. The fourth operation was a year later, but this time the patient received laser treatment on the right earlobe from a specialist in lasers. After the operation, the patient's therapy included wearing pressure earnings and receiving cortisone shots into the right earlobe. The keloid grew back within the year with an additional increase in size.The patient underwent a fifth and final operation. The keloid grew back and the patient has not sought medical treatment for the condition since 1992.

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Global Dermatology Grand Rounds
Rhett J. Drugge, M.D., Founding Editor
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