Pleomorphic Adenoma of the Nasal Septum: A Case Report

Abstract

Pleomorphic adenoma is the most common benign tumor of major and minor salivary glands. It rarely originates from the nasal cavity. It is important to identify the symptoms and characteristics of the disease so that early diagnosis can be made and appropriate treatment can be offered as it has a risk of malignant transformation. We are reporting a case of a 22-year-old female with a long duration of unilateral nasal obstruction. Rigid nasoendoscopy showed a mass at the left nasal septum. Preoperative imaging was performed followed by endoscopic resection of the mass. The pathological diagnosis was pleomorphic adenoma. Post-operatively, appropriate examination with nasoendoscopy and long-term follow-up is essential to avoid local recurrence.

Pleomorphic adenoma of the nasal septum: A case report

“…Loco-regional recurrence or malignant transformation can be picked up early using endoscopic examination followed by imaging [ 2 ]. However, as no signs or symptoms of recurrent or malignant disease were noted in our case, CT imaging was not repeated prior to the surgery, similar to the approach by other authors [ 15 ]. Other authors have recommended clinical surveillance in four to six-monthly intervals, with imaging one year postoperatively to rule out local recurrence [ 14 ], as repeated recurrence can increase the risk for malignant transformation [ 16 ].…”

A classic triphasic pleomorphic adenoma of nasal cavity mimicking as malignancy: a rare case report

“…7%). 1 In upper respiratory tract, few cases have been reported in hard palate and lips, tongue in the oral cavity and nasal cavity followed by maxillary sinus and nasopharynx. 2 Nasal PA s (0.4%) most often arise from the nasal septum followed by lateral nasal wall.…”

“…It arises commonly from the major salivary glands especially in parotid (70%), and rarely from the minor salivary glands (6-7%) that are seen in nasopharynx, pharynx, larynx, hypopharynx, lacrimal glands and nasal cavity (0.4%). 1 Cases have been reported in lip, hard and soft palate, lacrimal gland and external auditory canal. 2 Here we report a case of classic triphasic PA arising from sero mucinous glands of nasal mucosa which is presented clinically as bleeding nasal polyp.…”

“…It can arise from parotid glands, submandibular glands or other minor salivary glands. It can also rarely occur in the upper respiratory tract via the minor salivary glands (6-7%) 1. In upper respiratory tract, few cases have been reported in hard palate and lips, tongue in the oral cavity and nasal cavity followed by maxillary sinus and nasopharynx 2.…”