Biopsy?

It has taken 6 months to get a diagnosis in my ear of a canal cholosteatoma with exposed bone. I had a CT scan which showed widened ear canal from the growth which has eroded bone. Original diagnosis was chronic otitis externa with exposed bone from ear trauma ie cotton bud and a cyst. Then it was suspected necrotising otitis externa when i had a servere bacterial infection. 

My ENT surgeon says he cant operate due to blood supply and nerves as would require a skin graft. Seeing him again in 4 months. I have regular 6 weekly microsuction ear cleans to manage it. 

I cant understand why the skin is in such a terrible state. Research says it is widely operated on. The ear is painful, itchy and weeps inside. I am only 52, no diabeties. I cant get any water in for risk of infection. At one point ENT doctor said it was the worst ear he had seen.

I cant help feeling something more is happening. Research says ear cancer can be misdiagnosed as a canal cholosteaoma as CT scan cant tell difference between them.

Should I ask for a biopsy to be carried out to check? I dont want to come across as a smart alec with the consultant. 3 diagnosis so far cant help wondering whats next. I am at my wits end with the pain, discomfort and continual appointments.

Any help appreciated

  • Hello Bayview22

    I'm sorry to hear that you've had some ongoing health concerns. It sounds like it's been a difficult time for you and it's understandable that you have been feeling worried. 

    I don't think that asking your consultant about a biopsy and telling them about your concerns regarding possible cancer is unreasonable. Hopefully they will be able to explain their findings and diagnosis further to help you understand why there are currently limitations to the treatment they can offer. 

    In the meantime, if it might help to talk things through with one of our nurses you're welcome to call them on 0808 800 4040, Monday to Friday 9am to 5pm. I know they will be happy to listen and offer any advice they can. 

    I hope that you get some clarity and reassurance soon and that the specialists can improve things for you. 

    Best wishes, 
    Jenn
    Cancer Chat moderator