Pagella Fabio, Chu Francesco, Pusateri Alessandro, Matti Elina
Department of Otorhinolaryngology, University of Pavia and Foundation I.R.C.C.S. Policlinico San Matteo, 27100 Pavia, Italy.
Case Rep Med. 2012;2012:253186. doi: 10.1155/2012/253186. Epub 2012 Aug 13.
Pleomorphic adenoma is the most common benign tumor of the parotid glands. Rarely it may arise from minor salivary glands of the upper aerodigestive tract. A 57-year-old woman was admitted at our institution presenting with nasal obstruction. Endoscopic evaluation revealed a pedicled mass in the rhinopharynx. After radiological examination, we opted for a transnasal endoscopic-assisted excision of the mass under general anaesthesia. Histological evaluation deponed for pleomorphic adenoma with clear surgical margins. No endoscopic evidence of local recurrence has been shown after 48 months of followup. In the literature, few cases of pleomorphic adenoma arising in the rhinopharynx have been reported. The introduction of endoscopy, as shown by our experience, leads to important benefits in the identification, treatment, and followup of such rhinopharyngeal benign tumors.
多形性腺瘤是腮腺最常见的良性肿瘤。它很少起源于上呼吸道消化道的小唾液腺。一名57岁女性因鼻塞入住我院。内镜检查发现鼻咽部有一个带蒂肿物。经过影像学检查后，我们选择在全身麻醉下经鼻内镜辅助切除肿物。组织学评估证实为多形性腺瘤，手术切缘清晰。随访48个月后，内镜检查未发现局部复发迹象。文献中报道的鼻咽部多形性腺瘤病例很少。正如我们的经验所示，内镜的应用为这类鼻咽部良性肿瘤的识别、治疗及随访带来了重要益处。
