Angioleiomyoma of the Auricle

IMAGES location apart from the predilection sites because of its nature of having no clinical symptoms or diagnostic characteristics. We report a rare case of angioleiomyoma on the antihelix of the left ear and a review of the literature on such tumors. A 58-year-old woman was referred to our clinic for excision of a mass on the antihelix of her left ear. The patient gave a history of noticing a tiny mass 5 years earlier on her auricle without any symptoms. However, the mass exhibited a sudden increase in size within the previous month without symptoms such as ulceration, bleeding, or pain. The patient first visited the Department of Dermatology and underwent a punch biopsy under suspicion of hemangioma. The pathologic report confirmed angioleiomyoma, and the patient was transferred to the Department of Plastic Surgery for surgical excision. A physical examination revealed a 1 cm purplish round mass on the antihelix of the left ear. The mass was non-tender and firm on palpation (Fig. 1A). The mass did not show any signs of thrill or bruit. Complete surgical excision was performed, and the resected mass measured 9×5×5 mm with encapsulation (Fig. 1B). On followup 2 months after the operation, the patient had no clinical problems, and she was satisfied with the results (Fig. 1C). A histopathological examination showed a well circumscribed mass with a fibrous capsule. The tumor was composed of smooth muscle, presenting as interlacing bundles between numerous vascular channels (Fig. 1D, E). Angioleiomyoma of the Auricle