Retrospective evaluation of ceruminous gland tumors confined to the external ear canal of dogs and cats treated with biopsy and CO2 laser ablation

J Vet Intern Med. 2023 Nov-Dec;37(6):2385-2390. doi: 10.1111/jvim.16873. Epub 2023 Sep 20.

Abstract

Background: Treatments currently available for ceruminous gland tumors include surgery and radiation therapy, which come with high financial costs and frequent complication and recurrence rates.

Hypothesis: To evaluate the treatment, response, complication, and recurrence of ceruminous gland tumors confirmed with biopsy and ablated using CO2 laser.

Methods: Retrospective review of medical records from Iowa State University and the University of Illinois between January 1, 2016 and December 31, 2021. Electronic medical records were evaluated for a histopathologically confirmed ceruminous gland tumor via video-otoscopic aided biopsy and subsequent CO2 laser ablation. Signalment, tumor type, size, location within the ear canal, length of time tumor was present before presentation, advanced imaging, and follow-up including recurrence were assessed.

Results: Fourteen ceruminous gland adenomas (4 dogs, 10 cats) and 12 ceruminous gland adenocarcinomas (7 dogs, 5 cats) were identified. Bacterial otitis externa was present in 4/26 (15%) animals. Recurrence was identified in 1/14 (7%) ceruminous gland adenomas and 1/12 (8%) ceruminous gland adenocarcinomas.

Conclusions and clinical importance: Video-otoscopic aided biopsy and CO2 laser ablation of ceruminous gland tumors in dogs and cats is a viable treatment option with low recurrence and complication rates with CO2 laser ablation.

Keywords: CO2 laser; ceruminous adenocarcinoma; ceruminous adenoma; ear tumor.

MeSH terms

  • Adenocarcinoma* / veterinary
  • Adenoma* / veterinary
  • Animals
  • Biopsy / veterinary
  • Carbon Dioxide
  • Cat Diseases* / surgery
  • Cats
  • Dog Diseases* / surgery
  • Dogs
  • Ear Canal / surgery
  • Humans
  • Laser Therapy* / veterinary
  • Retrospective Studies
  • Skin Neoplasms* / veterinary

Substances

  • Carbon Dioxide