scholarly journals Ossifying pleomorphic adenoma presenting as a nasopalatine mass

Author(s):  
Vikram K. Bhat ◽  
Supreetha B. Shenoy ◽  
Bhavana Sangoli

<p class="abstract"><span lang="EN-IN">Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. A high index of clinical suspicion and biopsy can diagnose such swellings.</span></p>

2014 ◽  
Vol 7 (2) ◽  
pp. 67-69
Author(s):  
Sushant Joshi ◽  
HS Bhuie ◽  
Navneet Mathur

ABSTRACT Pleomorphic adenomas are most common benign tumor of the major salivary gland, mainly found in parotid gland. Pleomorphic adenomas may also occur in the minor salivary glands of the hard and soft palate. Few cases are also diagnosed in various parts of pharynx and larynx. Intranasal pleomorphic adenomas can arise either from septum or lateral nasal wall. They are very rare entity and occasionally misdiagnosed due to their atypical histopathology. We present a rare case of pleomorphic adenoma diagnosed in middle-aged female originating from lateral wall of right nasal cavity. How to cite this article Joshi S, Bhuie HS, Mathur N, Verma H. Pleomorphic Adenoma of Nasal Cavity: A Rare Case Report. Clin Rhinol An Int J 2014;7(2):67-69.


2020 ◽  
Vol 23 (1) ◽  
pp. 88-91
Author(s):  
MA Matin ◽  
Enamul Haque ◽  
Md Asafuddoula ◽  
Subroto Ghosh ◽  
Mahmud Hossain

Pleomorphic adenomas arising in the nasal cavity are extremely uncommon, despite the large numbers of minor mucous and serous glands in the region. We present a rare case of a pleomorphic adenoma arising from the right nasal vestibule in a 65-year-old man complained of right nasal obstruction for 6 months. Anterior rhinoscopy showed a reddish, firm, polypoid mass in right nasal cavity which is free from the nasal septum and from the inferior tubinate but it was attached to the nasal vestibule. Flexible nasal endoscopy showed no extension of the mass towards the posterior choana or nasopharynx. The mass was completely excised from the nasal vestibule through intranasal approach and sent for histology which confirmed a pleomorphic adenoma with a predominant stromal component. The main treatment modality is surgical resection with histological clear margins. Recurrences and evolution to malignancy are not frequent, but long tern follow-up is recommended. In our case, the patient demonstrated satisfactory cosmetic results with no evidence of recurrence. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 88-91


2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
I Tsomidis ◽  
G Kalopitas ◽  
K Dinaki ◽  
G Germanidis ◽  
J Constantinidis

Abstract Aim Giant esophageal polyps are a relative rare and benign entity, which can lead to major complications. Our knowledge about their pathology and management originates from scattered case reports. Our aim is to report the clinical presentation and management of this rare case in order to enrich the current literature. Background & Methods Large pedunculated esophageal polyps are a rare entity encountered in clinical practice. The majority of these polyps are located near the upper esophageal sphincter or upper esophagus. They are slowly growing and asymptomatic. Most common clinical symptoms, associated with polyp size, include dysphagia, chest pain, regurgitation and, rarely, acute respiratory distress. Histology reveals benign submucosal tumors with fibrous and vascular components, covered by normal squamous cells, in most cases. Malignant transformation of these polyps has been infrequently described. Surgical approach, either with endoscopic resection or with open surgery, is the treatment of choice and recurrence is extremely uncommon. A review of current literature was conducted, followed by presentation of our rare case. Results A 50 year-old woman with clear medical history presented with a 3-month history of dysphagia and endoscopy revealed a large esophageal polyp extending from the upper esophageal sphincter to the lower esophageal sphincter. The initial attempt of endoscopic resection of the polyp led to regurgitation and intraoral prolapse of the polyp, causing respiratory distress. The patient was transferred to the ENT operation room and an orotracheal intubation was performed. The tumor was successfully removed transorally after ligation of its stem. Histopathology showed an inflammatory fibroid polyp (IFP) and postsurgical follow-up revealed no recurrence of the mass. Conclusion Giant IFPs are an extremely rare entity among upper esophageal polyps and the pathogenesis of these tumors remains poorly understood. Life threatening regurgitation of the polyp causing respiratory distress is an uncommon complication demanding urgent surgical approach. Once diagnosed, these benign tumors can be removed either with open surgery or endoscopic resection depending on the location and the size of the tumor. The impressive size of these polyps renders them a challenge for surgeons and endoscopists, whose cooperation is often in need.


1996 ◽  
Vol 110 (4) ◽  
pp. 376-378 ◽  
Author(s):  
Lydia Badia ◽  
Justin N. Weir ◽  
Anthony C. Robinson

AbstractPleomorphic adenomas arising from sites other than the major or minor salivary glands are uncommon. We describe a case of pleomorphic adenoma in the subcutaneous tissue of the nasomaxillary crease. An identical tumour was previously excised from the right nasal cavity. The possible aetiology of these heterotopic salivary gland tumours is discussed.


2019 ◽  
Vol 12 ◽  
pp. 117955061988656
Author(s):  
Amina Mouzali ◽  
Samia Lameche ◽  
Assia Slimani ◽  
Omar Zemirli

Objectives: Pleomorphic adenomas are benign tumors that rarely involve nonsalivary glands. We report an uncommon case of ala nasi pleomorphic adenoma. We discuss the clinical and histopathologic characteristics, and review the literature on nasal pleomorphic adenoma. Method: A 20-year-old man presented with a painless slow growing lobulated mass located on the right ala nasi extending into the nasal vestibule. Results: Complete surgical excision was performed. Histologic examination found a mixed cellular component: epithelial and myoepithelial cells with chondromyxoid stroma. This was consistent with the diagnosis of a typical pleomorphic adenoma. There was no evidence of recurrence at 18 months after the surgery. Conclusions: Pleomorphic adenomas located in the external nose are extremely rare. In such case, pleomorphic adenoma could originate from ectopic minor salivary gland. Complete surgical excision with long-term follow-up is recommended due to the potential risk of recurrence and malignant transformation.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
S. Berrettini ◽  
S. Fortunato ◽  
A. De Vito ◽  
L. Bruschini

Salivary gland tumors are rare. The majority of these tumors are benign and about 70% are pleomorphic adenomas (PA). Nasopharynx is an unusual site for the PA tumor. Only six cases are presented in the literature from 1990 to 2011. The diagnosis of this disease is linked to the sum of imaging tests, clinical and histological study of the mass of the above. The radiologic features of noninvasion of surrounding structures give the first clue to the benign lesion. From the review of the literature and our experience is identified as the gold standard in surgical treatment for this condition. Thanks to the endoscopic surgery, we can perform a complete resection of the lesion without damaging adjacent structures. We presented a case of pleomorphic adenoma of nasopharynx with literature review.


2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Manoela Moura De Bortoli ◽  
José Alcides Almeida de Arruda ◽  
Ricardo José Holanda Vasconcellos ◽  
Emanuel Dias Oliveira e Silva ◽  
Ana Karina de Medeiros Tormes ◽  
...  

Among the ways to approach cases of ectopic teeth, the surgical approach is a valid option and should be considered, since it is considered simple and it permits direct visualization and a rapid recovery. The aim of this article is to report a rare case of ectopic tooth in the lateral wall of the nasal cavity caused by trauma in the maxillofacial region in childhood, and to describe its clinical and imaging characteristics as well as ways of treatment and surgical aspects. A 25-year-old woman was seen at the clinic of Maxillofacial Surgery and Traumatology due to the presence of a foreign body in the nose. A treatment plan was elaborated based on physical and radiographic examination. The tooth was removed by a surgical approach and the patient underwent esthetic rehabilitation. Surgical treatment of ectopic teeth provides a good and satisfactory postoperative result, is simple and mostly without complications. Ectopic teeth are rare, and the professional should be able to perform the diagnosis, indication and planning of treatment, as well as its execution. Surgical treatment is an option that produced an effective result in the present case.Descriptors: Mouth; Tooth, Impacted; Ambulatory Surgical Procedures.ReferencesVerma RK, Bakshi J, Panda NK. Ectopic intranasal tooth: an unusual cause of epistaxis in a child. Ear Nose Throat J. 2012;91(6):242-44.Gupta YK, Shah N. Intranasal tooth as a complication of cleft lip and alveolus in a four years old child: case report and literature review. Int J Paediatr Dent. 2001;11(3):221-24.Thor AL. Delayed removal of a fully intruded primary incisor through the nasal cavity: a case report. Dental Traumatol. 2002;18(4):227-30.Koçak HE, Özdamar K, Bilgi B, Aipayam H. Case report a rare cause of intranasal mass: bilateral ectopic nasal teeth. Iran J Otorhinolaryngol. 2017;29(94):287-89.Van Essen TA, Van Rijswijk JB. Intranasal toothache case report. J Laryngol Otol. 2013;127(3):321-22.Kim DH, Kim JM, Chae SW, Hwang SJ, Lee SH, Lee HM. Endoscopic removal of an intranasal ectopic tooth. Int J Pediatr Otorhinolaryngol. 2003;67(1):79-81.Ray B, Singh LK, Das CJ, Roy TS. Ectopic supernumerary tooth on the inferior nasal concha. Clin Anat. 2006;19(1):68-74.Zalagh M, Akhaddar A, Benariba F. Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth. Int J Oral Maxillofac Surg. 2012;41(3):297-99.Moreano EH, Zich DK, Goree JC, Graham, SM. Nasal tooth. Am J Otolaryngol. 1998;19(2):124-26.Sammatino G, Trosino O, Perillo L, Cioff A, Marenzi G, Mortellaro C. Alternative transoral approach for intranasal tooth extraction. J Craniofac Surg. 2011;22(5):1944-46.Lee FP. Endoscopic extraction of an intranasal tooth: a review of 13 cases. Laryngoscope. 2001;111(6):1027-31.


2022 ◽  
Vol 38 (1) ◽  
Author(s):  
Kaoutar Cherrabi ◽  
Omar Maqboub ◽  
Najib Benmansour ◽  
Mohamed Noureddine El Alami

Abstract Background Pleomorphic adenomas are common tumors of major salivary glands. However, the localization in nasal cavity originating from the lateral wall is exceptional. This work is a presentation of a very rare case that presents the diagnostic challenge, considering the multitude of malignant and benign differential diagnosis. A discussion of surgical approach, and the possible complications associated with it. Case presentation This is the case of an invasive nasal pleomorphic adenoma in a 48-year-old patient; the patient underwent complete excision through combined left lateral rhinotomy and functional endoscopic sinus surgery. Conclusion Pleomorphic adenoma is a very rare benign tumor of the nasal cavity. Clinical diagnosis is generally difficult regarding the multitude of differential diagnosis. Confirmation is established upon histological aspect. This is a case of a very rare large pleomorphic adenoma of nasal cavity originating from the lateral wall, associated with differential diagnosis, and surgical approaches, as well as perceivable complications. The strength of this work is to point out the importance of complete surgical extirpation and thorough follow-up to prevent recurrences and malignant transformation.


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