Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India
Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Rep. 2022 Oct 17;15(10):e250831. doi: 10.1136/bcr-2022-250831.
Pleomorphic adenoma is the most common benign salivary gland tumour of the head and neck region, most commonly seen in parotid glands. These may arise also from minor salivary glands of the upper aerodigestive tract comprises the upper lip, cheek, floor of the mouth and rarely from mucoserous glands in the nasal cavity and paranasal sinuses. A middle-aged man, who had undergone surgery for a nasal mass 14 years ago, presented with headache and visual complaints from a recurrent mass originating from the sphenoid sinus. Isolated sphenoid sinus space-occupying lesions have always been a diagnostic challenge. The mass was biopsied and diagnosed as pleomorphic adenoma on histopathology, and then excised endoscopically. Early and accurate diagnosis on a biopsy may result in complete excision of the tumour and prevent recurrence. The endoscopic route is preferred for surgical excision and the patient should be followed up clinically and radiologically to detect early recurrence.
多形性腺瘤是头颈部最常见的良性涎腺肿瘤，最常见于腮腺。这些肿瘤也可能发生在上呼吸道的小涎腺，包括上唇、脸颊、口腔底部，很少发生在鼻腔和副鼻窦的粘浆液腺。一位中年男性，14 年前因鼻腔肿块接受了手术治疗，现因源于蝶窦的复发性肿块出现头痛和视力问题。孤立性蝶窦占位病变一直是诊断难题。肿块活检诊断为多形性腺瘤，然后经内镜切除。活检的早期和准确诊断可能导致肿瘤的完全切除，并预防复发。内镜途径是首选的手术切除方法，患者应进行临床和放射学随访，以检测早期复发。
