Basharat Rehman, Bjorling Alexander, Samara Ghassan
Otolaryngology, Stony Brook University, New York, USA.
Cureus. 2024 Aug 1;16(8):e65969. doi: 10.7759/cureus.65969. eCollection 2024 Aug.
Pleomorphic adenoma (PA) most commonly manifests in the parotid gland, though it occasionally emerges in atypical locations. We present a case involving an 87-year-old female who exhibited chronic left-sided nasal symptoms, leading to the diagnosis of PA in the nasal cavity. This diagnosis was confirmed through rhinoscopy and subsequent pathological examination following the surgical excision of an 8x8 mm mass. The procedure, which included tumor-based cautery, alleviated her symptoms effectively. A follow-up strategy was established to monitor for any signs of recurrence. The patient has shown no signs of recurrence at subsequent three-month follow-up visits, highlighting the success of the intervention. This case underscores the importance of early recognition and intervention in atypical presentations of PA, which is crucial to prevent potential complications and ensure favorable outcomes.
多形性腺瘤(PA)最常出现在腮腺,不过偶尔也会出现在非典型部位。我们报告一例87岁女性病例,该患者出现慢性左侧鼻部症状,最终诊断为鼻腔多形性腺瘤。通过鼻镜检查以及对一个8×8毫米肿物进行手术切除后随后的病理检查确诊了该诊断。该手术包括基于肿瘤的烧灼术,有效缓解了她的症状。制定了随访策略以监测复发迹象。在随后的三个月随访中,患者未出现复发迹象,突出了干预措施的成功。该病例强调了对PA非典型表现进行早期识别和干预的重要性,这对于预防潜在并发症和确保良好预后至关重要。