Epidemiology of basal cell carcinoma and squamous cell carcinoma of the pinna
Abstract
This is a retrospective study designed to compare the incidence of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) in the head and neck skin area with special reference to the pinna. The results showed 426 patients had 460 cutaneous malignancies in the head and neck area, managed by four specialties (ENT, Dermatology, General Surgery and GPs) over the period 1994-99. The lesions comprised 375 (80.47 per cent) BCC and 85 (18.47 per cent) SCC. In cases of BCC the facial areas were commonly involved (88 per cent), whilst SCC was almost equally distributed between the most (face, forehead and nose) and least exposed areas (pinna and scalp). The overall ratio of BCC to SCC remained four to one in the head and neck area. In 41 patients with 51 lesions over the pinna there were 29 (56.8 per cent) BCC and 22 (43.1 per cent) SCC hence the ratio was 1.3 to 1 for this site. We conclude that in the case of a suspicious lesion over the pinna, the risk of SCC is comparatively much higher. With increasing awareness of early and quick diagnosis of cancer cases, it is recommended that these patients should be referred urgently to prevent the significant morbidity associated with invasive SCC.
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SCC of the ear tends to be more aggressive and occurs more frequently with higher rates of local recurrence and metastasis than basal cell carcinoma.
“Between the two, SCC of the ear tends to be more aggressive and occurs more frequently with higher rates of local recurrence and metastasis.3,4,[7][8][9]”
From Ear Reconstruction following Mohs Micrographic Surgery (2024) · cites this paper as [7]
Cites
Incidence of non-melanocytic skin cancer treated in Australia
Giles, G. G., Marks, R., & Foley, P. A. (1988) · BMJ · doi:10.1136/bmj.296.6614.13 · Cited by 357 · see citing works
Cutaneous Cancers in the Mosan Region and Ardennes of Belgium
Piérard-Franchimont, C., Uhoda, I., & Pierard, G. (1999) · Dermatology · doi:10.1159/000018109 · Cited by 11 · see citing works
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Tumours of the external ear and temporal bone
Devaney, K. O., Boschman, C. R., Willard, S. C., Ferlito, A., & Rinaldo, A. (2005) · The Lancet Oncology · doi:10.1016/s1470-2045(05)70208-4 · Cited by 87 · see citing works
Lymph node metastases from auricular squamous cell carcinoma. A systematic review and meta-analysis
Clark, R. R., & Soutar, D. S. (2008) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2008.04.036 · Cited by 47 · see citing works
Malignancies Within Rhinophyma: Report of Three New Cases and Review of the Literature
Lazzeri, D., Colizzi, L., Licata, G., Pagnini, D., Proietti, A., Alì, G., Massei, P., Fontanini, G., Pantaloni, M., & Agostini, T. (2011) · Aesthetic Plastic Surgery · doi:10.1007/s00266-011-9802-0 · Cited by 46 · see citing works
Gaudet, J., Walvekar, R. R., Arriaga, M. A., Dileo, M., Nuss, D. W., Pou, A. M., Hagan, J. L., & Lin, J. (2010) · Skull base · doi:10.1055/s-0030-1253575 · Cited by 32 · see citing works
Patterns of Regional Metastasis in Advanced Stage Cutaneous Squamous Cell Carcinoma of the Auricle
Peiffer, N., Kutz, J. W., Myers, L. L., Isaacson, B. B., Sumer, B. D., Truelson, J. M., Ahn, C. W., & Roland, P. S. (2010) · Otolaryngology · doi:10.1177/0194599810390908 · Cited by 30 · see citing works
Nonmelanoma skin cancer of the ear: frequency, patients' knowledge, and photoprotection practices
RAGI, J. M., PATEL, D., MASUD, A., & RAO, B. K. (2010) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2010.01615.x · Cited by 29 · see citing works
Duffy, K. L., McKENNA, J. K., HADLEY, M. L., & Tristani‐Firouzi, P. (2008) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2008.34379.x · Cited by 25 · see citing works
Clinical Analysis of Auricular Benign Masses
Jung, S. Y., Kim, M. G., Boo, S. H., Yeo, E. K., Kwon, C., Lee, S. K., & Yeo, S. G. (2012) · Korean Journal of Audiology · doi:10.7874/kja.2012.16.1.10 · Cited by 22 · see citing works
Metastatic cutaneous squamous cell carcinoma of the external ear: a high-risk cutaneous subsite
Turner, S., Morgan, G. J., Palme, C. E., & Veness, M. (2009) · The Journal of Laryngology & Otology · doi:10.1017/s0022215109991101 · Cited by 21 · see citing works
Cutaneous squamous cell carcinoma metastasis to the parotid region lymph nodes
Myers, L. L., & Ahn, C. W. (2018) · The Laryngoscope · doi:10.1002/lary.27534 · Cited by 20 · see citing works
Blazquez-Sanchez, N., Fernandez-Canedo, I., Repiso‐Jiménez, J. B., Rivas‐Ruiz, F., & de Troya-Martín, M. (2015) · Actas Dermo-Sifiliográficas · doi:10.1016/j.ad.2015.09.004 · Cited by 19 · see citing works
Skin Cancers of the Auricle: A Retrospective Analysis of 41 Patients
Özgür, E., Kamiloğlu, U., Temız, P., & Eskiizmir, G. (2020) · Turkish Archives of Otorhinolaryngology · doi:10.5152/tao.2020.5701 · Cited by 16 · see citing works
The facial skin lesions “see and treat” clinic: a prospective study
Salam, M. A., Matai, V., Salhab, M., & Hilger, A. W. (2006) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-006-0058-2 · Cited by 15 · see citing works
Blazquez-Sanchez, N., Fernandez-Canedo, I., Repiso‐Jiménez, J. B., Rivas‐Ruiz, F., & de Troya-Martín, M. (2016) · Actas Dermo-Sifiliográficas · doi:10.1016/j.adengl.2016.01.005 · Cited by 15 · see citing works
Liu, H., Dai, C., Wu, Q., Liu, H., & Li, F. (2017) · Cancer Medicine · doi:10.1002/cam4.1213 · Cited by 15 · see citing works
Rawashdeh, M. A., & Matalka, I. I. (2004) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2003.04.009 · Cited by 15 · see citing works
Squamous cell carcinoma of the external ear: 170 cases treated with Mohs surgery.
González, A., Etchichury, D., Rivero, J. M., & Adamo, L. (2021) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2021.03.060 · Cited by 10 · see citing works
Beecher, S. M., Joyce, C. W., Elsafty, N., Jones, D. M., Hussey, A. J., Regan, P. J., & Kelly, J. L. (2016) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000000585 · Cited by 9 · see citing works
High-risk squamous cell carcinoma of the ear - A potential role for sentinel node biopsy
Beecher, S. M., Wrafter, P. F., Joyce, C. W., Regan, P. J., & Kelly, J. L. (2017) · Head & Neck · doi:10.1002/hed.24843 · Cited by 9 · see citing works
Basal Cell Carcinoma Masked in Rhinophyma
Seta, D. D., Russo, F., Seta, E. D., & Filipo, R. (2013) · Case Reports in Otolaryngology · doi:10.1155/2013/201024 · Cited by 8 · see citing works
Samara, A., Herrmann, S., Ditzler, M. G., Raj, K. M., Orlowski, H. L. P., & Eldaya, R. W. (2021) · Current Problems in Diagnostic Radiology · doi:10.1067/j.cpradiol.2020.12.007 · Cited by 7 · see citing works
Schwartz, R. A. (2008) · doi:10.1002/9780470696347.ch5 · Cited by 7 · see citing works
Non-melanoma skin cancer of the auricle is treated according to national guidelines.
Larsen, D. G., & Illum, P. (2013) · PubMed · Cited by 6 · see citing works
High-risk squamous cell carcinoma and its impact on a 62-year-old male surgeon
Jubran, J. H., & Sengelmann, R. D. (2019) · BMJ Case Reports · doi:10.1136/bcr-2019-229940 · Cited by 6 · see citing works
Sex‐specific differences in patients with nonmelanoma skin cancer of the pinna
Moser, U., Andrianakis, A., Pondorfer, P., Wolf, A., Graupp, M., Weiland, T., Holzmeister, C., Wild, D., & Thurnher, D. (2020) · Head & Neck · doi:10.1002/hed.26237 · Cited by 4 · see citing works
Sayan, A., Paraneetharan, S., & Ilankovan, V. (2020) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.bjoms.2020.04.029 · Cited by 4 · see citing works
Kennedy, C. (2004) · doi:10.1002/9780470750520.ch65 · Cited by 4 · see citing works
Surgical outcomes for cutaneous squamous cell carcinoma of the auricle
Manole, C., Skinner, L. J., & Donnelly, M. J. (2023) · World Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.1002/wjo2.137 · Cited by 2 · see citing works
Custom Made Mold Brachytherapy
Ersu, B. (2012) · InTech eBooks · doi:10.5772/26589 · Cited by 2 · see citing works
Periauricular mold brachytherapy
Ersu, B., Tulunoglu, I. F., & Cengiz, M. (2009) · Brachytherapy · doi:10.1016/j.brachy.2009.07.006 · Cited by 2 · see citing works
Carcinome basocellulaire kystique à localisation bilatérale chez un albinos: à propos d’un cas
Banza, M. I., Badypwyla, I., & Kapessa, N. D. (2019) · Pan African Medical Journal · doi:10.11604/pamj.2019.34.43.19457 · Cited by 2 · see citing works
Adenoid Cystic Basal Cell Carcinoma Arising in Rhinophyma.
Taslîcă, R., Georgescu, C. V., & Pătraşcu, V. (2020) · PubMed Central · doi:10.12865/chsj.46.03.15 · Cited by 2 · see citing works
Dermatoses of the External Ear
Kennedy, C. (2016) · doi:10.1002/9781118441213.rtd0109 · Cited by 2 · see citing works
Epithelial and nonepithelial tumors of the external ear
Baykal, C., & Atcı, T. (2026) · Clinics in Dermatology · doi:10.1016/j.clindermatol.2026.05.012 · Cited by 1 · see citing works
Carcinome basocellulaire de la face: à propos de quatre cas rapportés à Madagascar
Razafindrakoto, R. M., Razafindranaivo, M. N., Schammirah, M. R., & Randriamboavonjy, R. (2015) · Pan African Medical Journal · doi:10.11604/pamj.2015.22.97.7154 · Cited by 1 · see citing works
Malignant Neoplasms of the Ear and Temporal Bone
Michaels, L., & Thompson, L. D. �. (2006) · Elsevier eBooks · doi:10.1016/b978-0-443-06960-4.50022-7 · Cited by 1 · see citing works
Auricular and Periauricular Skin Cancers
Barton, B. M., & Moore, B. (2018) · Springer eBooks · doi:10.1007/978-3-319-74539-8_6 · Cited by 1 · see citing works
Şahin, A., Erdem, H., Çelik, M. A., Çankaya, S., & Aslan, A. (2020) · Online Türk Sağlık Bilimleri Dergisi · doi:10.26453/otjhs.735102 · Cited by 1 · see citing works
Nonmelanoma Skin Cancers of the Ear
Duffy, K. L., McKENNA, J. K., HADLEY, M. L., & Tristani‐Firouzi, P. (2009) · Dermatologic Surgery · doi:10.1097/00042728-200901000-00005 · Cited by 1 · see citing works
NEOPLASMS OF THE EAR AND TEMPORAL BONE
Wenig, B. M. (2008) · Elsevier eBooks · doi:10.1016/b978-0-7216-9788-8.50030-7 · Cited by 1 · see citing works
Neoplasms of the Ear and Temporal Bone
Wenig, B. M. (2016) · Elsevier eBooks · doi:10.1016/b978-1-4557-3382-8.00025-6 · Cited by 1 · see citing works
Ear Reconstruction following Mohs Micrographic Surgery
Mohan, V. C., Owens, W. R., Schmidt, J. L., Burns, H. R., & Buchanan, E. P. (2024) · Seminars in Plastic Surgery · doi:10.1055/s-0044-1791830
López, R. F. R., & Martínez, L. A. D. (2002) · Medunab
Non-Melanoma Skin Cancers of Pinna: Retrospective Assesment of 51 Cases
Çiloğlu, S., Duran, A., Yigit, A., Büyükdoğan, H., & Keskin, E. (2015) · Turkish Journal of Dermatology · doi:10.4274/tdd.2584
Bioengineering Human Scaffold-free Cartilage Constructs Using Paediatric Auricular Tissue
Akbari, P. (2015) · TSpace (University of Toronto)
Kennedy, C. (2010) · doi:10.1002/9781444317633.ch68
Postauricular Island Flap in Reconstruction of Auricula Tumor Defects
Mehel, D. M., Özdemir, D., Çelebi, M., Saraç, N., Aydemir, S., & Özgür, A. (2020) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000006508
Basal cell carcinoma of the antihelix- reconstruction using a pre-auricular flap
Zarachi, A., Liontos, A., Evangelou, Z., Lianou, A. D., Gκoura, S., Kastanioudakis, I. G., & Komnos, I. D. (2021) · International Journal of Science and Research Archive · doi:10.30574/ijsra.2021.3.2.0133
Malignant neoplasms of the ear and temporal bone
Thompson, L. D. �. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-2607-7.00027-0
(2016) · CRC Press eBooks · doi:10.1201/9781315381763-21
(2011) · Elsevier eBooks · doi:10.1016/b978-0-323-06969-4.00018-0
Adil, D., Imane, D. N., Rim, L., Otmane, T., Issam, D., Hanae, T., Sara, T., & Mouad, E. (2022) · SAS Journal of Surgery · doi:10.36347/sasjs.2022.v08i08.007
Reconstruction of Conchal Defects after Chemically Assisted Dissection of Squamous Cell Carcinoma
Piazza, F., Palmeri, A. M. I., Bacciu, A., Spriano, G., & Mercante, G. (2023) · Journal of Otorhinolaryngology Hearing and Balance Medicine · doi:10.3390/ohbm4020010
Neoplasms of the Ear and Temporal Bone
Wenig, B. M., & Hernandez-Prera, J. C. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-71257-6.00024-1
Dermatoses of the External Ear
Kennedy, C., & Sharma, A. K. (2024) · doi:10.1002/9781119709268.rook106
Les carcinomes basocellulaires de la face : à propos de cinq cas malgaches
Razafindrakoto, R., Randrianandraina, M., Rakotoarisoa, A. J. C., Razanakoto, G., & Rakoto, F. (2015) · La revue médicale de Madagascar. · doi:10.62606/rmmao00134
Louca, M., Grech, S. W., Dayaratna, N., & Dusseldorp, J. R. (2024) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000010645
Clinical Analysis of Auricular Tumors
Park, J. M., Lee, G., Kim, K.-W., Lee, S. J., & Lee, J. M. (2024) · Korean Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.3342/kjorl-hns.2024.00199
(2025) · American Registry of PathologyArlington, Virginia eBooks · doi:10.55418/9781933477619-8
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Pita, E. G., Lella, F. A. D., Larrañaga, J. J., & Salazar, A. (2016) · Revista del Hospital Italiano de Buenos Aires · doi:10.51987/rev.hosp.ital.b.aires.v36i2.674
Obradović, B. (2026) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000013541
- Authors
- Ahmad, I., & Gupta, A. R. D.
- Affiliations
- Walsall Manor Hospital (GB)
- University Hospitals Birmingham NHS Foundation Trust (GB)
- Venue
- The Journal of Laryngology & Otology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2001-02
- Volume
- 115
- Issue
- 2
- Pages
- 85-86
- ISSN
- 0022-2151 (ISSN-L)
- 1748-5460
- OpenAlex
- W1980701446
- Cited by
- 61
- References
- 2
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 6 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 5 · 2013: 2 · 2012: 3
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Laryngology & Otology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- basal cell carcinoma, squamous cell carcinoma, auricle, head and neck skin cancer, incidence, facial skin cancer, scalp, early diagnosis
- MeSH terms
- Aged, Basal Cell Carcinoma, Carcinoma, Squamous Cell, Ear Neoplasms, Ear, External, England, Female, Head and Neck Neoplasms, Humans, Male, Middle Aged, Retrospective Studies, Skin Neoplasms, Incidence
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