Uncommonly sited rare tumour causing nasal obstruction

2020 ◽  
Vol 13 (6) ◽  
pp. e233486
Author(s):  
Christina Apthorp ◽  
Shweta Sharma ◽  
H Barrak Aldeerawi
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Cystic Lesion ◽  
Lateral Wall ◽  
Alar Cartilage ◽  
Rare Tumour ◽  
Anterior Rhinoscopy ◽  
The Right

​​The study aims to discuss a case of an uncommonly sited rare tumour causing nasal obstruction and a literature review of angioleiomyomas in the nose. A 64-year-old woman presented with blockage of the right nostril, associated with a visible swelling on the undersurface of the alar cartilage, in the lateral wall of the nasal cavity. Anterior rhinoscopy highlighted a 1 cm cystic lesion, with areas of firmness, present at the mucocutaneous junction with a broad base. It was not attached to the underlying cartilage. There was no ulceration or bleeding on palpation. Nasal endoscopy did not show any extension further and the rest of the nasal cavity was clear. Endonasal resection of the tumour using a two-handed technique. This paper highlights not only the importance of considering angioleiomyomas within a differential diagnosis of nasal obstructions but also the uncommon site.​

Pleomorphic Adenoma of the Lateral Nasal Wall: An Unusual Entity

2016 ◽  
Vol 9 (3) ◽  
pp. 146-148
Author(s):  
Aparna Bhardwaj ◽  
Sonam Rathi
Keyword(s):  
Nasal Cavity ◽  
Pleomorphic Adenoma ◽  
Nasal Obstruction ◽  
Lateral Wall ◽  
Positive Outcome ◽  
Lateral Nasal Wall ◽  
Tissue Mass ◽  
Complete Excision ◽  
History Of ◽  
The Right

ABSTRACT Pleomorphic adenomas occurring in the nasal cavity are rarely encountered; nevertheless, there is abundance of minor seromucinous glands in that region. Most cases present with a painless, slowly progressing unilateral nasal obstruction, a nasal mass, and epistaxis. Herewith, we present an unusual case of pleomorphic adenoma arising from the lateral wall of the right nasal cavity in a 41-year-old male who complained of right nasal obstruction with no history of epistaxis. Rigid nasal endoscopy revealed a swelling continuous with right inferior concha. Computed tomography showed a well-defined, soft tissue mass in the right nasal cavity. The lesion was completely excised endoscopically. Histopathology confirmed a pleomorphic adenoma consisting of epithelial and mesenchymal elements. Wide exposure is crucial for complete excision with negative margins to achieve positive outcome and to prevent recurrence. How to cite this article Pandey AK, Bhardwaj A, Maithani T, Rathi S. Pleomorphic Adenoma of the Lateral Nasal Wall: An Unusual Entity. Clin Rhinol An Int J 2016;9(3):146-148.

scholarly journals Pleomorphic Adenoma of the Lateral Nasal Wall: An Unusual Entity

2017 ◽  
Vol 10 (1) ◽  
pp. 11-13
Author(s):  
Aparna Bhardwaj ◽  
Sonam Rathi
Keyword(s):  
Nasal Cavity ◽  
Pleomorphic Adenoma ◽  
Nasal Obstruction ◽  
Lateral Wall ◽  
Positive Outcome ◽  
Lateral Nasal Wall ◽  
Tissue Mass ◽  
Complete Excision ◽  
History Of ◽  
The Right

ABSTRACT Pleomorphic adenomas occurring in the nasal cavity are rarely encountered; nevertheless, the abundance of minor seromucinous glands in that region is seen. Most cases present with a painless, slowly progressing unilateral nasal obstruction, a nasal mass, and epistaxis. Herewith, we present an unusual case of pleomorphic adenoma arising from the lateral wall of right nasal cavity in a 41-year-old male, who complained of right nasal obstruction with no history of epistaxis. Rigid nasal endoscopy revealed a swelling continuous with right inferior concha. Computed tomography showed a well-defined, soft tissue mass in the right nasal cavity. The lesion was completely excised endoscopically. Histopathology confirmed a pleomorphic adenoma consisting of epithelial and mesenchymal elements. Wide exposure is crucial for complete excision with negative margins to achieve positive outcome and to prevent recurrence. How to cite this article Pandey AK, Bhardwaj A, Maithani T, Rathi S. Pleomorphic Adenoma of the Lateral Nasal Wall: An Unusual Entity. Clin Rhinol An Int J 2017;10(1):11-13.

scholarly journals Nasal hemangioma as a cause of epistaxis: a case report

2020 ◽  
Vol 6 (4) ◽  
pp. 776
Author(s):  
Nikhil Mathew John ◽  
Vivekanand A. ◽  
Tija Susan Varghese
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Clinical Presentation ◽  
Solitary Lesion ◽  
Hormonal Factors ◽  
Proliferative Lesion ◽  
Exact Etiology ◽  
The Right

<p class="abstract">Hemangioma is a benign, rapidly growing solitary lesion that usually occurs in the skin and mucous membrane. The exact etiology of such a lesion is unknown, but thought to be due to trauma and hormonal factors. Sinonasal hemangiomas are rare. Bleeding and nasal obstruction with mass sometimes filling the nasal cavity are the usual clinical presentation of such a lesion. We report a case of 42-year-old female with right nasal hemangioma presented with on and off epistaxis and progressive right-sided nasal obstruction. Examination of nasal cavity physically combined with endoscopy revealed a polypoid, reddish colored mass in the nasal cavity on the right side arising from septum. Endoscopic subperichondrfial excision was done under local anaesthesia. The histopathology showed vascular proliferative lesion, consistent with hemangioma. Endoscopic excision is preferred as it helps in better visualization. Subperichondrial excision helps to reduce bleeding also, prevent the recurrence. Although rare, the diagnosis of hemangioma must always be kept in mind while discussing the differential diagnosis of a bleeding mass in the nasal cavity.</p>

scholarly journals Rhinolith causing unilateral chronic rhinosinusitis: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 414
Author(s):  
Sumit Prinja ◽  
Garima Bansal ◽  
Jailal Davessar ◽  
Simmi Jindal ◽  
Suchina Parmar
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Maxillary Sinusitis ◽  
Nasal Discharge ◽  
Endonasal Approach ◽  
Review Of Literature ◽  
Medical College ◽  
Uncommon Disease ◽  
Chronic Maxillary Sinusitis ◽  
The Right

<p class="abstract">Rhinolith or nasal stone is formed by mineralization within nasal cavity. They are calcareous concretions that are formed by the deposition of salts on an intranasal foreign body. It is an uncommon disease that may present asymptomatically or cause symptoms like nasal obstruction, consecutive sinusitis with or without purulent rhinitis, post nasal discharge, epistaxis, anosmia, nasal malodour and headache. They are usually diagnosed incidentally on radiographic examinations or depending on the symptoms. In this paper we report a 28-year-old woman admitted in the ENT department of GGS Medical College and Hospital, Faridkot with a calcified mass in the right nasal cavity causing long standing unilateral nasal obstruction for 3 years, rhinorrhoea (usually malodourous foetid), post nasal discharge and headache for 1 year. The calcified mass was thought to contain the air cell and removed by endonasal approach. The aim of this study is to report a case of rhinolith with chronic maxillary sinusitis along with a review of literature.</p>

scholarly journals Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

2014 ◽  
Vol 7 (2) ◽  
pp. 76-79
Author(s):  
Vishal Prasad ◽  
Chandrakala Srinivas ◽  
Sheetal Krishnappa ◽  
Suresh T Narayan Rao ◽  
Harshitha T Rajanna
Keyword(s):  
Elderly Patient ◽  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Histopathological Examination ◽  
Middle Turbinate ◽  
The Elderly ◽  
Nasal Discharge ◽  
Fungal Sinusitis ◽  
Nasal Mass ◽  
The Right

ABSTRACT Objective To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy. To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly. Case report A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material. Conclusion Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly. How to cite this article Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

scholarly journals Inflammatory Pseudotumor in the Nasal Cavity and Sinuses: A Case Report and Associated Literature Review

2020 ◽  
pp. 014556132092448
Author(s):  
Jing Li ◽  
Maohua Wang ◽  
Wangwei Li ◽  
Yuejin Tao ◽  
Xinyi Shi
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Inflammatory Pseudotumor ◽  
Plasma Cells ◽  
Clinical Manifestations ◽  
Good Prognosis ◽  
Benign Condition ◽  
Ocular Symptoms ◽  
Facial Swelling ◽  
The Right

Inflammatory pseudotumor (IP) is a clinically aggressive but histologically benign condition of unknown cause. It rarely appears in the nasal cavity and sinuses. Here, we describe a 24-year-old female with the main symptom of right nasal obstruction. Examinations showed dilation in the right maxillary sinus and a pale neoplasm in the nasal cavity. The neoplasm was completely excised under endoscope. Postoperative pathology showed significant proliferation of plasma cells and lymphocytes, indicating the presence of IP. No recurrence was found during 20 months of follow-up. Only 28 cases (10 males and 18 females, average 41.04 years) have been reported on Pubmed. The main clinical manifestations were nasal obstruction, epistaxis, facial swelling and pain, eyeball protrusion, diplopia, and other ocular symptoms. Inflammatory pseudotumor always erodes the surrounding bone and requires active treatments. Surgery is the optimal option with a good prognosis.

scholarly journals Recurrent Pindborg Tumor of the Maxilla: A Case Report and Review of the Literature

2013 ◽  
Vol 92 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Gangadhara Somayaji ◽  
Aroor Rajeshwary ◽  
Sullia Ramesh ◽  
Sullia Dinesh
Keyword(s):  
Case Report ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Radical Surgery ◽  
Odontogenic Tumor ◽  
Review Of The Literature ◽  
Calcifying Epithelial Odontogenic Tumor ◽  
Pindborg Tumor ◽  
The Right ◽  
Epithelial Odontogenic Tumor

We report a case of recurrent Pindborg tumor (calcifying epithelial odontogenic tumor) of the maxilla. The patient was a 34-year-old woman who had been previously diagnosed with Pindborg tumor and treated with curettage. She was subsequently referred to us for evaluation of nasal obstruction. Examination revealed the presence of a mass lesion in the right nasal cavity and right maxilla, which was identified as a recurrence of her earlier Pindborg tumor. The patient was treated with maxillectomy with orbital preservation. Pindborg tumor is a rare odontogenic tumor; when it does occur, it is more often seen in the mandible than in the maxilla. While this tumor is often treated with curettage alone, the aggressive nature of the recurrence in our patient necessitated radical surgery. We report this case to highlight the need to be suitably aggressive in treating these types of tumors in order to avoid recurrence.

scholarly journals Nasal Cavity Paraganglioma: Literature Review and Discussion of a Rare Case

2017 ◽  
Vol 2 (2) ◽  
pp. 1-15 ◽  
Author(s):  
Juliana Maria de Almeida Vital ◽  
Terence Pires de Farias ◽  
Fernando Luiz Dias ◽  
Juliana Fernandes de Oliveira ◽  
José Gabriel Miranda da Paixão ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Literature Review ◽  
Nasal Cavity ◽  
Rare Case ◽  
Bleeding Risk ◽  
Preoperative Embolization ◽  
Long Period ◽  
Radiologic Investigation ◽  
The Right

Paragangliomas can be found from the skull base to the sacrum. Sinonasal paragangliomas are infrequent. A 16-year-old female reported spontaneous discrete bilateral epistaxis once a month beginning when she was 3 years of age. Computed tomography showed an expansive hypervascular mass occupying the right nasal cavity and nasopharynx. Sinonasal paragangliomas usually occur in middle-aged women. Radiologic investigation is essential for the diagnosis of sinonasal paragangliomas and evaluating extension of the lesion. Endoscopic and conventional approaches are effective, and preoperative embolization is paramount for reducing bleeding risk. Histopathological features cannot differentiate benign from malignant paragangliomas, and since metastasis may eventually occur, follow-up must be carried out for a long period of time.

Angioleiomyoma of the nasal cavity – report of a case and review of the literature

1994 ◽  
Vol 108 (3) ◽  
pp. 244-246 ◽  
Author(s):  
M. H. Z. Khan ◽  
A. S. Jones ◽  
M. T. Haqqani
Keyword(s):  
Nasal Cavity ◽  
Unusual Case ◽  
Lateral Wall ◽  
Inverted Papilloma ◽  
Unusual Feature ◽  
Review Of The Literature ◽  
Rare Tumour

AbstractAngioleiomyoma of the nasal cavity is an extremely rare tumour (Sawada, 1990). We present an unusual case of angioleiomyoma arising from the lateral wall of the nasal cavity without any symptoms of pain or epistaxis. Another unusual feature was that the tumour clinically resembled an inverted papilloma.

scholarly journals The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Detlef Brehmer ◽  
Randolf Riemann
Keyword(s):  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Foreign Bodies ◽  
Early Stage ◽  
Diagnostic Techniques ◽  
Nasal Discharge ◽  
Rare Occurrence ◽  
The Past ◽  
Stage Of Development ◽  
The Right

Rhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnostic techniques, such as endoscopic/microscopic rhinoscopy, now make it possible to identify foreign bodies at an early stage of development. We report the case of a 37-year-old patient who, at the age of 5-6 years, introduced a foreign body, probably a stone, into his right nasal cavity. On presentation, he complained of difficulty in breathing through the right nostril that had persisted for the last 10 years. For the past four years a strong fetid smell from the nose had been apparent to those in his vicinity. Under general anaesthesia, the stone was removed in toto from the right nasal cavity. The possible genesis of the rhinolith is discussed, our case compared with those described in the literature, and possible differential diagnoses are considered.

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