External auditory canal, like other epithelialized surfaces is predisposed to malignancies such as Squamous cell carcinomas (SCC), melanomas and adenocarcinomas. In this background, malignancies like adenoid cystic carcinoma (ACC) are a rare occurrence and need to be thoroughly evaluated both locally and for distant extension. The malignancy needs to be addressed with an aggressive approach surgically with adequate marginal clearance. The role of radiation is debatable considering the outcomes in the limited data. Here we present a case of a 35-year-old female who presented with otalgia and otorrhea associated a mass in the external auditory canal. After biopsy and imaging, a diagnosis of adenoid cystic carcinoma was made, and the patient was managed accordingly.
Keywords: Adenoid cystic carcinoma, External auditory canal, Neck dissection