Myofibroma of the pinna: a case report and review of the literature

Surg Case Rep. 2024 Apr 23;10(1):96. doi: 10.1186/s40792-024-01879-w.

Abstract

Background: Myofibromas are rare mesenchymal tumors with a predilection for the head, neck, and oral cavity. Primarily affecting infants and young children, these tumors typically manifest as superficial painless nodules. Diagnosis is confirmed through histopathological examination of a biopsy, revealing nodules characterized by spindle cell proliferation. To our knowledge, only two cases of pinna myofibroma have been previously reported in the literature.

Case presentation: Here, we present the case of a three-year-old male who developed a myofibroma of the left auricle following trauma to the area one year earlier. The patient underwent surgical resection without any postoperative complications. The patient later returned with a lesion consistent with hypertrophic scar.

Conclusions: This study aims to provide a comprehensive review of the clinical presentation, histopathologic and immunohistochemical features, and surgical management of this unique case of myofibroma of the pinna.

Keywords: Case report; Ear; Histopathology; Hypertrophic; Keloid; Myofibroma; Myofibromatosis; Pediatric otolaryngology; Pinna.