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									<identifier>oai:www.peertechzpublications.org:10.17352/2455-1759.000013</identifier>
									<datestamp>2016-02-22</datestamp>
									<setSpec>PTZ.AOR:VOL2</setSpec>
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								<metadata>
									<oai_dc:dc xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:mml="http://www.w3.org/1998/Math/MathML" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
										<dc:title>
										Adenocarcinoma of Ceruminous Glands: Role of the VMAT
										</dc:title><dc:creator>Simona Vallarelli</dc:creator><dc:creator> Stefania Stucci</dc:creator><dc:creator> Marco Tucci</dc:creator><dc:creator> Nicola Quaranta</dc:creator><dc:creator> Donatella Russo</dc:creator><dc:creator> Marco Moschetta</dc:creator><dc:creator>Franco Silvestris</dc:creator><dc:description>&lt;p&gt;Adenocarcinoma of the ceruminous glands is a rare malignancy arising from the glands of the
external auditory canal. In most patients it is usually diagnosed as locally advanced disease with
a major obstacle for radical surgery. Here, we describe two cases of patients suffering of sudden
hearing loss and ipsilateral facial hemiparesis due to tumors arising from the ceruminous glands
with primary intracranial involvement and subsequent middle ear infiltration. The patient with localadvanced
disease underwent surgery followed by adjuvant treatment, whereas the other patient with
advanced disease only to palliative therapy. However, both of them received volumetric-modulated
arc radiotherapy (VMAT) resulting in complete remission as adjuvant treatment in the first patients
while extending the survival as palliation in the second one. Thus, VMAT appears a suggested
approach in this tumor which management is still poorly defined.&amp;nbsp;&lt;/p&gt;</dc:description>
										<dc:publisher>Archives of Otolaryngology and Rhinology - Peertechz Publications</dc:publisher>
										<dc:date>2016-02-22</dc:date>
										<dc:type>Case Report</dc:type>
										<dc:identifier>https://doi.org/10.17352/2455-1759.000013</dc:identifier>
										<dc:language>en</dc:language>
										<dc:rights>Copyright © Simona Vallarelli et al.</dc:rights>
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