Pleomorphic Adenoma of the Nasal Vestibule – A Rare Case

Authors

  • MA Matin FRCS, Professor and Head of the Department of ENT & HNS, Rajshahi Medical College, Bangladesh
  • Enamul Haque Asstt. Prof of ENT, Rajshahi Medical College
  • - Md Asafuddoula Professor of Pathology, Rajshahi Medical College
  • Subroto Ghosh Asstt Professor ENT, Rajshahi Medical College
  • Mahmud Hossain Asstt Registrar ENT, Rajshahi Medical College

DOI:

https://doi.org/10.3329/bjo.v23i1.45132

Keywords:

Nasal vestibule. Pleomorphic adenoma, intranasal approach

Abstract

Pleomorphic adenomas arising in the nasal cavity are extremely uncommon, despite the large numbers of minor mucous and serous glands in the region. We present a rare case of a pleomorphic adenoma arising from the right nasal vestibule in a 65-year-old man complained of right nasal obstruction for 6 months. Anterior rhinoscopy showed a reddish, firm, polypoid mass in right nasal cavity which is free from the nasal septum and from the inferior tubinate but it was attached to the nasal vestibule. Flexible nasal endoscopy showed no extension of the mass towards the posterior choana or nasopharynx. The mass was completely excised from the nasal vestibule through intranasal approach and sent for histology which confirmed a pleomorphic adenoma with a predominant stromal component. The main treatment modality is surgical resection with histological clear margins. Recurrences and evolution to malignancy are not frequent, but long tern follow-up is recommended. In our case, the patient demonstrated satisfactory cosmetic results with no evidence of recurrence.

Bangladesh J Otorhinolaryngol; April 2017; 23(1): 88-91

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Published

2020-01-26

How to Cite

Matin, M., Haque, E., Md Asafuddoula, .-., Ghosh, S., & Hossain, M. (2020). Pleomorphic Adenoma of the Nasal Vestibule – A Rare Case. Bangladesh Journal of Otorhinolaryngology, 23(1), 88–91. https://doi.org/10.3329/bjo.v23i1.45132

Issue

Section

Case Reports