Hassan lqbal, Muhammad Mujeeb, Tehseen ul Hassan Farooqi, Nousheen W Yousuf.
Pleomorphic Adenoma of the Nasal Septum.
J Coll Physicians Surg Pak Jan ;10(1):36-7.
Pleomorphic adenoma being commonest benign epithelial salivary tumour, its presence in upper respiratory tract is highly unusual. A case of pleomorphic adenoma of the cartilaginous septum could easily be confused with generally more aggressive destructive lesions of the nasal septum. Treatment consist of conservative surgical excision. Recurrence is unlikely but may occur late in follow up, therefore long term follow up is recommended.
Case Report: A 32-year-old lady presented with unilateral nasal obstruction noted for the past one year. There was no history of epistaxis or rhinorrhoea. On examination, a greyish white mass was noted in the right nostril originating from the anterior nasal septum occluding the vestibule. The initial clinical impression was a chondroma. The tumour was removed through intranasal approach with excision of the mass down to and including the mucoperichondrium. The surgical specimen was a tumour measuring 2.5x1.OxO.S cm. Pathologic examination demonstrated, epithelial elements in the form of tubules and acini. Sheets of myoepithelial cells as well as mucoid areas were present. Hyaline change was also seen in the stroma. No chondroid element was seen.The post-operative course was uneventful and the patient was discharged on fourth post-operative day. She was followed up for two years and there had been no recurrence.
PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com