Sciandra D, Dispenza F, Porcasi R, Kulamarva G, Saraniti C
Otorhinolaryngology Department, University of Palermo, Palermo, Italy.
Acta Otorhinolaryngol Ital. 2008 Jun;28(3):150-3.
Pleomorphic adenoma is the most common tumour of the salivary glands. However, it is extremely rare for these to originate in the nose and even when they do so, it is most commonly in the nasal septum. It is important to be aware of the paucity of presenting symptoms (nasal obstruction and epistaxis), as the lesion may not be recognized immediately. Growth is generally restricted locally and the tumour is not known to spread to the neighbouring structures. Surgical resection is the treatment of choice. Recurrences and evolution to malignancy are not frequent, but long-term follow-up is recommended. The case is presented of pleomorphic adenoma arising from the lateral wall of the right nasal cavity, in a 34-year-old male, which was resected completely, endoscopically. Histological and immunohistochemical evaluation revealed the presence of a pleomorphic adenoma.
多形性腺瘤是涎腺最常见的肿瘤。然而，起源于鼻腔的情况极为罕见，即便如此，最常见于鼻中隔。由于症状（鼻塞和鼻出血）较少，病变可能无法立即被识别，因此了解这一点很重要。肿瘤生长通常局限于局部，且未知会扩散至邻近结构。手术切除是首选治疗方法。复发和恶变并不常见，但建议进行长期随访。本文报告了一名34岁男性右侧鼻腔外侧壁发生的多形性腺瘤病例，通过内镜完全切除。组织学和免疫组化评估显示为多形性腺瘤。
