Pleomorphic adenoma of nasal septum: A case report

A Pradhan,K Pande,P Paudyal,P Upadhyaya,R Shah,S Thapa

doi:10.3126/jpn.v7i1.16947

Abstract

Pleomorphic adenomas are the most common benign tumor of the major salivary glands. Other rare sites for the occurrence of pleomorphic adenoma have been described in the larynx, pharynx, nasal cavity, lacrimal glands and trachea. We report here a case of intranasal pleomorphic adenoma arising from the nasal septum causing nasal obstruction which was clinically diagnosed as papilloma. Histopathology confirmed the diagnosis of pleomorphic adenoma.

Highlights

Pleomorphic adenoma (PA) is the most common benign mixed salivary gland tumor occurring in major salivary glands.[1]
With clinical diagnosis of nasal septum papilloma, submucosal resection was done under general anaesthesia and excised mass was sent for histopathological examination
The most common tumor of the major salivary glands are pleomorphic adenoma, but in rare instances, they can occur in the respiratory tract.[5]

Summary

INTRODUCTION

Pleomorphic adenoma (PA) is the most common benign mixed salivary gland tumor occurring in major salivary glands.[1] Salivary gland tumours constitute about 3% of all neoplasms. The majority of these tumours are benign and about 70% are Pleomorphic adenoma.[2] In rare instances can occur in the respiratory tract mainly in the nasal cavity, maxillary sinuses, nasopharynx and rarely oropharynx, hypopharynx and laynx.[3]. With clinical diagnosis of nasal septum papilloma, submucosal resection was done under general anaesthesia and excised mass was sent for histopathological examination. The tumor reveals epithelial, myoepithelial and mesenchymal component having myxoid, mucoid and chondroid areas Epithelial components are seen in the form of ducts and tubules containing eosinophilic secretion and lined by cuboidal and myoepithelial cells. (fig. 3)

DISCUSSION

CONCLUSION