A clinical case of a patient with tumors of the auricles on both sides is presented. With careful collection of anamnesis, it was found that the patient suffers from gout for a long time, has concomitant diseases that aggravate its course, and there is no compliance to treatment. Based on these data, the presence of gouty tophi, which are deposits of sodium monaurate in tissues in the form of nodes, is suspected. Auricles are not a common place of localization, due to which tophi can be mistaken for other neoplasms. Tophi are amenable to conservative treatment with urate-lowering therapy and non-pharmacological methods. However, our patient is shown their surgical removal based on complaints and low adherence to treatment. The final diagnosis was confirmed by histological examination. The analysis of the clinical case indicates that, despite the low frequency of detection of this disease, it is necessary to pay attention to differential diagnosis and treatment methods.