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Clinical Challenge
August 2015

Auricular Mass in a Child

Author Affiliations
  • 1Department of Otolaryngology and Head–Neck Surgery, University of Texas Medical Branch, Galveston
  • 2Department of Pathology, University of Texas Medical Branch, Galveston
JAMA Otolaryngol Head Neck Surg. 2015;141(8):761-762. doi:10.1001/jamaoto.2015.0951

A 5-year-old boy presented with a 1-year history of a mass gradually growing over the helix of his left auricle. It was associated with minimal pain and intermittently fluctuated in size. Physical examination revealed a single 1.0 × 0.7-cm mass on the left mid helix that was firm, nontender, nonerythematous, and nonerosive. Surgical resection was performed. The resected specimen appeared cystic (Figure, A) with granulomatous reaction at the periphery (Figure, B). The lesion was found to be superficially located in the dermis and filled with a soft white material that appeared as purple to blue crystals.

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