Pleomorphic adenoma is the most common benign pathology of the major salivary gland but rare in the minor salivary gland, especially in the nasopharynx, with only a few cases reported in the literature. A 76year-old lady presented with bilateral nasal blockage for one year secondary to a nasopharyngeal mass. Histopathological examination reported it to be nasopharyngeal carcinoma, but the mass persisted after a course of chemotherapy combined with radiotherapy. Upon repeat biopsy, the mass was found to be a pleomorphic adenoma. The patient underwent nasopharyngectomy without complications and no evidence of recurrence after 18 months of follow-up.
Kikuchi-Fujimoto disease, also known as histiocytic necrotising lymphadenitis, is an unusual type of painful lymphadenopathy. It is a self-limiting benign disease; usual management includes supportive therapy. We described a case of Kikuchi Disease in a childbearing-age woman who presented with painless and localised cervical lymphadenopathy during her postpartum period. Histopathology of the affected cervical node reveals areas of apoptosis and necrosis with abundant foamy histiocytes and plasmacytoid monocytes. The cervical node resolves spontaneously, and no subsequent new cervical lymph node was observed in this patient. Patient was given reassurance. It is vital to recognise Kikuchi disease as one of the causes of persistent cervical lymphadenopathy, to provide optimal management and to avoid incorrect treatment.
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