Management of Pleomorphic Adenoma in the Nasopharynx: A Case Report

Yazıcı, Zahide Mine; Yeğin, Yakup; Erdur, Ömer; Çelik, Mustafa; Kayhan, Fatma Tülin

doi:10.5152/balkanmedj.2015.15503

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…Only 16 clinical reports of nasopharyngeal PAs have been described in the literature, but none of them originated exclusively from torus tubarius, as in our patient. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] This is 17th clinical report of nasopharyngeal PA and the first arising from torus tubarius PA in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Pleomorphic adenoma of the nose and nasopharynx generally presents as a well-defined lobulated soft tissue mass in the MRI and CT scans. 1,3,4,[7][8][9][10][11][12][13] The treatment of choice is the surgical excision of the PA with histologically clear resection margins. Various surgical approaches have been developed such as transpalatal, transmaxillary, transmandibular, and tranpterygoid.…”

Section: Discussionmentioning

confidence: 99%

“…Pleomorphic adenoma of the nose and nasopharynx generally presents as a well-defined lobulated soft tissue mass in the MRI and CT scans. 1,3,4,7 -13…”

Section: Discussionmentioning

confidence: 99%

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Transnasal Endoscopic Resection of Torus Tubarius Pleomorphic Adenoma

et al. 2021

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Salivary gland tumors account for <5% of all head and neck neoplasms, with pleomorphic adenoma (PA) being the most common benign tumor. Pleomorphic adenomas mainly occur in the major salivary glands. Pleomorphic adenoma of minor salivary glands of nasopharynx is extremely rare. Only 16 cases of nasopharyngeal PAs have been previously described in the literature. We present the first clinical report of PA arising from torus tubarius treated successfully with transnasal endoscopic resection. Case DescriptionA 68-year-old male patient referred to our Ear, Nose, and Throat Department with a 5-year history of progressive left nasal obstruction. No other symptoms were reported. Endoscopic examination of nasal cavities and nasopharynx demonstrated a smooth, oval mass arising from the left torus tubarius (Figure 1A). The mass was obstructing the left nasal choanae and a part of the right choanae. Otoscopy and neck palpation were normal. Tympanometry revealed a type A tympanogram. Magnetic resonance imaging (MRI) could not be performed due to patient's claustrophobia. Computed tomography (CT) scan showed a 4.7 cm Â 4.2 cm Â 3.9 cm, well-defined, lobar mass in the left site of the nasopharynx, which displaced the soft palate (Figure 2).An endoscopic resection of the tumor under general anesthesia was decided. The tumor was meticulously detached from the left torus tobarius using bipolar diathermy and 0 4-mm nasal endoscope. The mass was excised en block with its pedicle, to prevent recurrence, via the transnasal route with a Weil-Blaksesley forceps (Figure 1B). The patient was discharged on the second postoperative day. The histopathological diagnosis was PA (Figure 3). No complications were reported during the immediate postoperative period. At 6-month follow-up period assessment, the patient was symptom-free, and there was no evidence of tumor recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Transnasal Endoscopic Resection of Torus Tubarius Pleomorphic Adenoma

et al. 2021

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“…A Le Fort I osteotomy may also facilitate cosmetic and bilateral access to the nasopharynx, although we were uncertain whether it would allow the manoeuvrability required for resection in this case. The majority of the previously documented cases used endoscopic transnasal approaches, variously combined with transoral accesses, for tumour resection [ 3 – 5 , 7 – 11 ]. Similarly to those cases, we used an endoscopic transnasal approach to avoid the significant morbidities of facial deformity, disruption of the nasal skeleton, dental malocclusion, and also to reduce the risk of iatrogenic Eustachian tube damage.…”

Section: Discussionmentioning

confidence: 99%

“…No tumour recurrences were reported amongst the previously published cases, after a mean follow-up interval of 24.7 months (range 6–52 months) [ 3 – 11 ]. We do not anticipate tumour recurrence in our patient's case; however, should unexpected recurrence be encountered, then no future surgical treatment options would be compromised because of his primary resection procedure.…”

Section: Discussionmentioning

confidence: 99%

Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma

Bowman

Daudia

Sahasrabudhe

et al. 2019

Case Reports in Otolaryngology

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Background. Pleomorphic adenomas occurring in the adult nasopharynx are rare, with our literature search identifying only 11 previous English-language reports. We document the unusual case of a large nasopharyngeal pleomorphic adenoma that was resected using radiofrequency coblation via an endoscopic transnasal approach. Methods. A 39-year-old male presented with worsening nasal congestion, intermittent otalgia, and a progressive change in voice. Flexible nasendoscopy showed a large homogeneous mass occupying the postnasal space, and computed tomography confirmed a 28 × 31 × 22 mm nasopharyngeal tumour. The biopsy-proven benign tumour was locally dissected using a coblator-assisted transnasal approach. Results. Histology confirmed complete excision of a myoepithelial-rich pleomorphic adenoma. The patient was symptom-free postoperatively, and no signs of recurrence were seen at one-year follow-up. Conclusions. This is a useful addition to the existing literature on surgical procedures used to treat benign pathology in the nasopharynx. The minimally invasive technique was well tolerated and had favourable patient outcomes.

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Nasopharyngeal Neoplasms

Goh¹,

Karandikar²

2020

Medical Radiology

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Management of Pleomorphic Adenoma in the Nasopharynx: A Case Report

Cited by 6 publications

References 6 publications

Transnasal Endoscopic Resection of Torus Tubarius Pleomorphic Adenoma

Transnasal Endoscopic Resection of Torus Tubarius Pleomorphic Adenoma

Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma

Nasopharyngeal Neoplasms

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