Page 70 - Revista Portuguesa - SPORL - Vol 62. Nº2

last 20 years 1,3-8 . Clinical cases published in concha of the right auricle. The lesion appeared
the literature describe the appearance of this approximately 3 weeks earlier, initially as
lesion in the external auditory canal and ear a small bump that the patient associated
pinna. It can rapidly grow and obstruct external with the presence of a furuncle. The patient
auditory canal, leading to conductive hearing scratched the lesion, which bled and became
loss . In one case, an association with previous smaller. However, it grew again, becoming
7
location of ear piercing was described . We larger (figure 1A) and easily bleeding, so the
8
present a clinical case of a PG in the cymba patient decided to seek healthcare.
concha region, in a young woman with no The clinical history was suggestive of the
apparent triggering factors. presence of a PG, so an excisional biopsy was
performed under local anesthesia (injection
Clinical case into the pedicle region of a pre-made solution of
A 20-year-old woman, with no past medical 1% lidocaine with 1:200,000 adrenaline), under
history, presented to the emergency microscopic visualization, followed by suture
department with a pedunculated, rounded with 4-0 silk (figure 1B). Histopathological
and friable lesion in the region of the cymba analysis confirmed the diagnosis (figure 2).

Figure 1
A – a small pedunculated, round and friable lesion on the cymba concha of the right auricle. B – an
excisional biopsy was done after local anesthesia. C – an almost imperceptible scab was present at
excision site 1 week later. D – no signs of recurrence and no aesthetic

Figure 2
A – Lobular pattern proliferation of capillary-like vessels. B – Ulcerated area of the lesion

180 Revista Portuguesa de Otorrinolaringologia - Cirurgia de Cabeça e Pescoço