Pan Xin, Cheng XiaoLing, Wang QianRu, Feng WenJiao, Lu Yao, Wei Xudong
The First School of Clinical Medicine, Lanzhou University, Lanzhou, China.
The First School of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou, China.
Ear Nose Throat J. 2024 Jun 14:1455613241261457. doi: 10.1177/01455613241261457.
Pleomorphic adenoma (PA) represents the most frequently occurring benign tumor within both major and minor salivary glands. However, in rare instances, nasal PA is an epithelial-derived borderline tumor, often originating from the nasal septum. Diagnosis usually relies on histopathological analysis. Under general anesthesia, these rare nasal tumors can be completely resected via endoscopic surgery. This article reports a case of PA originating from the nasal septum in a 49-year-old patient presenting with nasal congestion, along with a brief review of the current literature. The diagnostic nasal endoscopic examination showed a pink neoplastic mass in the left nasal cavity. Subsequent radiologic examination demonstrated a soft tissue mass in the anterior part of the nasal septum. After complete resection under nasal endoscopy, histopathological examination confirmed it as PA. Fortunately, no related complications occurred perioperatively and postoperatively. After surgery, performing a thorough examination with nasal endoscopy and scheduling regular follow-ups are crucial steps to prevent local recurrence.
多形性腺瘤(PA)是大、小唾液腺中最常见的良性肿瘤。然而,在罕见情况下,鼻腔PA是一种上皮源性交界性肿瘤,通常起源于鼻中隔。诊断通常依赖于组织病理学分析。在全身麻醉下,这些罕见的鼻腔肿瘤可通过内镜手术完全切除。本文报告一例49岁因鼻塞就诊的起源于鼻中隔的PA病例,并对当前文献进行简要综述。诊断性鼻内镜检查显示左侧鼻腔有粉红色肿瘤性肿物。随后的影像学检查显示鼻中隔前部有一软组织肿物。经鼻内镜下完全切除后,组织病理学检查确诊为PA。幸运的是,围手术期和术后均未发生相关并发症。手术后,进行彻底的鼻内镜检查并安排定期随访是预防局部复发的关键步骤。