Angiolymphoid hyperplasia with eosinophilia: an uncommon tumor of the external auditory canal

We present a case of an 80-year-old woman with a six-month history of painless nodules in her external auditory canal. Biopsies of these nodules revealed ALHE. This type of lesion rarely has been reported in the otolaryngologic literature, despite the fact that the head and neck are sites of predilection. The potential of malignancy with this disorder is debatable, and the histologic features overlap with other benign and malignant vascular tumors. Thus, adequate local excision is recommended.