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Mary M. Christian, MD; Kenneth R. Mink, MD; Richard F. Wagner, Jr, MD
The University of Texas Medical Branch at Galveston

Arch Dermatol. 1998;134:1627-1632.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 40-year-old man presented with a 1-week history of painless swelling of the left ear. He denied any history of trauma. Physical examination revealed a 3 x 3-cm fluctuant, nontender, cystic swelling in the scaphoid fossa of the left auricle (Figure 1, arrows). The lesion was incised and drained. Cultures of the straw-colored, clear fluid were negative for bacteria. Within 3 days, the swelling recurred. A biopsy specimen was obtained (Figure 2, Figure 3, and Figure 4).

Figure 1.

Figure 2.

Figure 3.

Figure 4.

What is your diagnosis?

Diagnosis: Auricular pseudocyst.

On histopathologic examination, an intracartilaginous cavity was present below the reticular dermis (Figure 2, arrows). The cavity was lined with granulation tissue (Figure 3, arrows) that dissected through the midplate of the cartilage (Figure 4, arrow). . . . [Full Text of this Article]

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