Endoscopic Resection of a Massive Pleomorphic Adenoma of the Nasal Septum

Abstract

Pleomorphic adenoma is a benign tumor that commonly arises from the major salivary glands, such as the parotid and submandibular glands. However, they rarely originate from the nasal cavity. Herein, we describe the case of a 49-year-old woman who presented with nasal obstruction. Preoperative evaluation revealed a giant pleomorphic adenoma attached to the nasal septum. Transnasal endoscopic removal was successfully performed using a specimen retrieval bag. We performed an endoscopic complete en-bloc resection of a large pleomorphic adenoma in the nasal cavity, using a specimen retrieval bag. There were no complications seen, no local recurrences after 2 years of follow-up, and the patient satisfaction was high. We therefore recommend that this technique of using specimen retrieval bags can be favorably utilized for endoscopic removal of large nasal tumors like pleomorphic adenoma.

A Large Pleomorphic Adenoma in Nasal Cavity Misdiagnosed as Inverted Papilloma

“…In contrast, endoscopic resection of a large PANC has been challenging. Several authors have described endoscopic-wide excisions of a massive PANC 2,4,11,12 . In our case, endoscopic resection was performed using a microdebrider with a clear safety margin.…”