DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20204204

Pleomorphic adenoma of dorsum of the nose: a rare occurrence

Rajiv Kumar Jain, Chultim D. Bhutia, Deepak Kumar Gupta, Ashvanee Kumar Chaudhary, Gagan Rangari, Anjali Singh

Abstract


Pleomorphic adenoma are common benign salivary gland tumours, which are found in majority in major salivary glands such as parotids and submandibular glands. However, Pleomorphic adenoma to originate from dorsum of the nose is a rare entity. In rare cases, it can be found in unusual sites such as upper aero digestive tracts, palate and lacrimal glands. Complete surgical resection is the treatment of choice. Though, the evolution to malignancy and recurrence is not usually encountered, still a long-term follow-up is recommended. Here, we report a 53 year old female , complained of swelling in the left side of dorsum of nose for 10 years with a feeling of heaviness over the left side of face and difficulty in vision on the side of swelling due to the enlarged size of the swelling which gave a feeling of vision disruption , also had a prior history of  incision and drainage 4 years ,done elsewhere. On clinical examination, nodular mass was palpated on left side dorsum of nose which was freely mobile, and Skin over the swelling had blackish pigmentation. Anterior rhinoscopy revealed no abnormalities. Complete surgical excision via a lateral rhinotomy incision was performed. Cytological and histological evaluation revealed the presence of pleomorphic adenoma. We observed a decent cosmetic outcome with no evidence of recurrence.


Keywords


Pleomorphic adenoma, Salivary Gland tumour, Mixed tumor, Sinonasal, Nasopharyngeal, Myoepithelial cells, Epithelial cells

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References


Bailey and love’s, short practice of surgery27th edition. 776-7.

Ersner MS, Saltzman M. A mixed tumor of the nasal septum. Report of a case. Laryngosc. 1944;54(6):287-96

Stevenson HN. XLV. Mixed Tumor of the Nasal Septum. Ann Otolo Rhinolo Laryngo. 1932;41(2):563-70.

Badia L, Weir JN, Robinson AC. Heterotopic pleomorphic adenoma of the external nose. J Laryngol Otolo. 1996;110(4):376-8.

Pons O, Almendros N, Berini L, Gay Escoda C. Minor salivary gland tumors: A clinicopathological study of 18 cases. Medicina Oral, Patología Oral y CirugiaBucal, 2008;13(9):582-8.

Rha M, Jeong S, Cho H, Yoon J, Kim C. Sinonasal pleomorphic adenoma: A single institution case series combined with a comprehensive review of literatures. Auris Nasus Larynx. 2019;46(2): 223-9.

Kuan E, Diaz M, Chiu A, Bergsneider M, Wang M, Suh J. Sinonasal and skull base pleomorphic adenoma: a case series and literature review. Int Foru Aller Rhinolo. 2015;5(5):460-8.

Vento S, Numminen J, Kinnunen I, Rautiainen M, Tarkkanen J, Hagström J, et al. Pleomorphic adenoma in the nasal cavity: a clinicopathological study of ten cases in Finland. Europe Archiv Oto-Rhino-Laryngol. 2016;273(11):3741-5.

Gana P, Masterson L. Pleomorphic adenoma of the nasal septum: a case report. J Medic Cas Repor. 2008;2(1).

Mohammed A, Ochicha O, Rafindadi A, Edino S. Pleomorphic adenoma of the nasal cavity: a case report and literature review. Nigeri Quarter J Hospi Medic. 2005;11(1).

Suzuki K, Moribe K, Baba S. A rare case of pleomorphic adenoma of lateral wall of nasal cavity. With special reference of statistical observation of pleomorphic adenoma of nasal cavity in Japan. Nipp Jibiinko Gakk Kaiho. 1990;93(5):740-5.

Compagno J, Wong R. Intranasal Mixed Tumors (Pleomorphic Adenomas): A Clinicopathologic Study of 40 Cases. Americ J Clinic Patholo. 1977;68(2):213-8.