Squamous cell carcinoma of external auditory canal arising from CSOM: a rare presentation

Malignant tumors of external auditory canal and of middle ear in the background of chronic suppurative otitis media (CSOM) are rare and more complicated with the reported incidence of 1 out of 4000 cases.  Since it is related to the poor prognosis, therefore, early diagnosis may help the health care takers to treat or manage this rare malignancy. In this report, we describe a clinical case of a 52 year old male patient presented with headache, vertigo, ear discharge with CSOM history who developed squamous cell carcinoma (SCC) of external auditory canal with temporal bone erosion and intracranial extension. This encounter many challenges associated with the management of CSOM and treatment trends to make the strategy more beneficial for this particular neoplasm. Conclusion: The patient was managed by a combined oncological and otologic approach.