This is a very rare neoplasm accounting for approximately 0.0003% of all tumors and about 2.5% of all external ear neoplasms.[1] Ceruminous adenocarcinomas (CA) is a rare type of tumor and has a very small amount of literature on it. The ages to develop ceruminous adenocarcinomas are between 21 and 92 and being most present around 48.[10] There is no statistical difference between being male and female and developing the tumor[10] and there is no racial inclination.[11] The typical treatment of CA is through surgery and radiation. The type of cut is important with the recurrence rate.[10] Long-term outcomes are better when having the wide cut near the tumor.[10] If the tumor reoccurs there is an 83% chance of mortality and if it does not reoccur there is a 9% chance of mortality.[10] Older people have a lower survival rate than younger ones.[12] The local reoccurrence rate is 49% and the distant metastasis rate is 13%.[11] With local reoccurrence being at 49%, follow-up is very important.[11]