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Ginger

• Patient:
  Ginger, 10 year old male cocker spaniel.



• Presenting complaint:
  Discharge from left ear with long-term treatment of chronic ear disease. Ginger previously had a recurrent high-grade sarcoma over the left shoulder that had been treated with cobalt radiation, and also an anal sac adenoma removed by excision.



• Diagnostic studies before endoscopy:
  There was bilateral mandibular lymph node enlargement, and fine-needle aspirates did not identify cancer cells. Culture of the ear showed a high growth of Pseudomonas aeruginosa. Pre-anesthetic blood work was within normal limits.



• Endoscopic procedure:
  Video-otoscopy identified a mass encroaching on the ear lumen. A biopsy found it to be a ceruminous gland adenoma. Excision of the tumor by a total ear canal ablation and lateral bulla osteotomy was done.



• Benefits of using endoscopy:
  Video-otoscopy and biopsy identified the cause of the chronic ear infections. Excision of this tumor is usually curative.

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