Login / Signup

Unveiling a Nasal Enigma: Pleomorphic Adenoma of Nasal Septum Causing Chronic Obstruction and Epistaxis.

Padmanabhan KarthikeyanSharad Ashish
Published in: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India (2024)
Tumors in the nasal septum originating from salivary glands are uncommon, and among them, pleomorphic adenomas represent a distinctive manifestation.This case study explores a female in her early thirties with a right-sided nasal mass, nasal obstruction, and intermittent bleeding. CT imaging revealed a lesion arising from the nasal septum with bony erosion. Histopathology confirmed pleomorphic adenoma,emphasizing the importance of thorough clinical evaluation, imaging, and biopsy for accurate diagnosis. Pleomorphic adenomas, typically found in major salivary glands, can occur in the respiratory tract, presenting challenges in distinguishing them from malignant tumors. Treatment involves wide local resection, and postoperative recurrence may necessitate radiotherapy. While intranasal pleomorphic adenomas generally have a favorable prognosis, those arising from the nasal septum have an elevated likelihood of malignancy. Vigilant monitoring is crucial due to the potential for recurrence, malignant transformation, and metastasis.
Keyphrases
  • chronic rhinosinusitis
  • high resolution
  • respiratory tract
  • clinical evaluation
  • magnetic resonance imaging
  • mass spectrometry
  • image quality
  • high intensity
  • locally advanced
  • positron emission tomography