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Tang G, Du B, Lan Y, Tian L. Pleomorphic Adenoma of Nasal Septum a Case Report. Indian J Otolaryngol Head Neck Surg 2023; 75:978-983. [PMID: 37206715 PMCID: PMC10188774 DOI: 10.1007/s12070-023-03530-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 01/23/2023] [Indexed: 02/12/2023] Open
Abstract
Introduction Pleomorphic adenoma is a common benign tumor of large and small salivary glands. It mainly occurs in the parotid gland, followed by the submandibular gland, sublingual gland and small salivary gland in the oral cavity. It is very rare in the nasal septum. Patient Concerns A 27-year-old female patient attended our clinic with Nasal congestion and a diminished sense of smell. Diagnoses Endoscopic examination revealed a mass within the right nasal passage. A pathological biopsy revealed pleomorphic adenoma. Interventions The nasal septum pleomorphic adenoma was resected by endoscopic approach. Outcomes No recurrence was observed for over 41 months of follow-up. Conclusion To prevent recurrence, extensive local resection with clear histological margins and long-term endoscopic follow-up with an endoscope are necessary.
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Affiliation(s)
- Guangjun Tang
- Department of otolaryngology head and neck surgery, People’s Hospital of Anshun City Guizhou Province, No. 140 of Huangguoshu Street, Xixiu District, 561000 Guizhou, Anshun City, Guizhou Province China
| | - Bo Du
- Department of otolaryngology head and neck surgery, People’s Hospital of Anshun City Guizhou Province, No. 140 of Huangguoshu Street, Xixiu District, 561000 Guizhou, Anshun City, Guizhou Province China
| | - Youxing Lan
- Department of otolaryngology head and neck surgery, People’s Hospital of Anshun City Guizhou Province, No. 140 of Huangguoshu Street, Xixiu District, 561000 Guizhou, Anshun City, Guizhou Province China
| | - Li Tian
- Department of Otolaryngology, Hospital of Chengdu University of Traditional Chinese Medicine, No. 39 of Shi’erqiao Road, Jinniu District, 610075, 610072 Chengdu, Chengdu, China
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Mouzali A, Lameche S, Slimani A, Zemirli O. Pleomorphic Adenoma of the Ala Nasi: A Case Report. CLINICAL MEDICINE INSIGHTS. EAR, NOSE AND THROAT 2019; 12:1179550619886561. [PMID: 31853210 PMCID: PMC6906341 DOI: 10.1177/1179550619886561] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 10/04/2019] [Indexed: 11/30/2022]
Abstract
Objectives: Pleomorphic adenomas are benign tumors that rarely involve nonsalivary
glands. We report an uncommon case of ala nasi pleomorphic adenoma. We
discuss the clinical and histopathologic characteristics, and review the
literature on nasal pleomorphic adenoma. Method: A 20-year-old man presented with a painless slow growing lobulated mass
located on the right ala nasi extending into the nasal vestibule. Results: Complete surgical excision was performed. Histologic examination found a
mixed cellular component: epithelial and myoepithelial cells with
chondromyxoid stroma. This was consistent with the diagnosis of a typical
pleomorphic adenoma. There was no evidence of recurrence at 18 months after
the surgery. Conclusions: Pleomorphic adenomas located in the external nose are extremely rare. In such
case, pleomorphic adenoma could originate from ectopic minor salivary gland.
Complete surgical excision with long-term follow-up is recommended due to
the potential risk of recurrence and malignant transformation.
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Affiliation(s)
- Amina Mouzali
- Department of Otorhinolaryngology, Head
and Neck Surgery, University Hospital Beni Messous, Algiers, Algeria
- Amina Mouzali, Department of
Otorhinolaryngology, Head and Neck Surgery, University Hospital Beni Messous,
Algiers, 16000 Algeria.
| | - Samia Lameche
- Department of Pathology, University
Hospital Beni Messous, Algiers, Algeria
| | - Assia Slimani
- Department of Pathology, University
Hospital Beni Messous, Algiers, Algeria
| | - Omar Zemirli
- Department of Otorhinolaryngology, Head
and Neck Surgery, University Hospital Beni Messous, Algiers, Algeria
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Rha MS, Jeong S, Cho HJ, Yoon JH, Kim CH. Sinonasal pleomorphic adenoma: A single institution case series combined with a comprehensive review of literatures. Auris Nasus Larynx 2018; 46:223-229. [PMID: 30122650 DOI: 10.1016/j.anl.2018.08.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Revised: 07/02/2018] [Accepted: 08/04/2018] [Indexed: 12/19/2022]
Abstract
OBJECTIVE This study aimed to reveal diagnosis, management, and treatment outcome characteristics of sinonasal pleomorphic adenoma and to identify predictors for disease recurrence. METHODS This study comprised a retrospective review of data from seven patients with sinonasal pleomorphic adenoma who were treated by the authors at a tertiary medical center between January 2005 and May 2017. In addition, the MEDLINE database was searched for literature published in English. A systematic review of the published articles was performed. RESULTS A total of 42 articles were eligible for review. Data from the seven treated patients and 101 patients described in the literature were included in the analysis. An endoscopic approach was employed in all cases treated at our institution, and recurrence was found in one patient with a large, 5.5-cm tumor. In reviewing prior publications, the mean age at surgery was 45.4 years, and the primary sign at diagnosis was nasal obstruction. The most common primary tumor site was the nasal septum (57.4%), and the mean tumor size was 3.6cm (range, 0.5-10cm) in 76 cases for which detailed information was available. Endoscopic endonasal resection achieved successful oncologic control in applied cases (25/25, 100%). Recurrence was found in eight of 101 patients. Multivariate analysis identified tumor origin of the paranasal sinus (adjusted OR 31.000, p=0.016) as being significantly associated with a high prevalence of recurrence. CONCLUSION Pleomorphic adenoma is a rare benign tumor of the sinonasal tract. Surgery that achieves clear margins is the treatment of choice. The tumor may be accessible via an endoscopic endonasal approach in most cases, although incomplete resection of the tumor stem may allow for tumor recurrence. In addition, our findings suggest that a tumor originating from the paranasal sinus is significantly associated with a high prevalence of recurrence.
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Affiliation(s)
- Min-Seok Rha
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea
| | - Sewon Jeong
- Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, 10444, Republic of Korea
| | - Hyung-Ju Cho
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea; The Airway Mucus Institute, Yonsei University College of Medicine, Severance Hospital, Seoul, 03722, Republic of Korea
| | - Joo-Heon Yoon
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea; The Airway Mucus Institute, Yonsei University College of Medicine, Severance Hospital, Seoul, 03722, Republic of Korea
| | - Chang-Hoon Kim
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea; The Airway Mucus Institute, Yonsei University College of Medicine, Severance Hospital, Seoul, 03722, Republic of Korea.
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Abstract
Pleomorphic adenomas are the most widespread epithelial tumours originating from the salivary glands. In almost 90% of the cases, they are localized in the parotid salivary glands. Pleomorphic adenomas only rarely affect the larynx. To the best of our knowledge, as many as 27 cases of laryngeal pleomorphic adenoma have thus far been described in the special literature. The present article was designed to report a case of pleomorphic adenoma in the larynx of a 76 year-old male patient. The surgical treatment of this condition proved beneficial for the patient whose condition remains uncomplicated by the relapse of the tumour during the 5 year-long postoperative follow-up.
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Affiliation(s)
- D M Mustafaev
- M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia, 129110
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Pleomorphic adenoma in the nasal cavity: a clinicopathological study of ten cases in Finland. Eur Arch Otorhinolaryngol 2016; 273:3741-3745. [PMID: 27056196 DOI: 10.1007/s00405-016-4023-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Accepted: 03/30/2016] [Indexed: 12/26/2022]
Abstract
The objective of the study was to investigate the nationwide occurrence of sinonasal pleomorphic adenoma in Finland. A retrospective study was conducted at The Departments of Otorhinolaryngology-Head and Neck Surgery, and Pathology at the five university hospitals in Finland. Data were obtained by searching for sinonasal pleomorphic adenoma cases in the clinical and histopathological registries at these institutions for the past two to four decades. All patients who had had a histologically proven pleomorphic adenoma in the sinonasal area were included as participants. Ten cases with pleomorphic adenoma of the nasal cavity were found. The majority of these tumours originated in the septum, and there were no malignant transformations. Pleomorphic adenomas of the nasal cavity were found to be extremely rare in this nationwide investigation.
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Yun YM, Shin S, Kyung H, Song SH, Kang N. Recurrent Chondroid Syringoma of the Alar Rim. Arch Craniofac Surg 2016; 17:35-38. [PMID: 28913251 PMCID: PMC5556721 DOI: 10.7181/acfs.2016.17.1.35] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2015] [Revised: 10/14/2015] [Accepted: 12/03/2015] [Indexed: 11/11/2022] Open
Abstract
Chondroid synringoma (CS), pleomorphic adenoma of skin, is a benign tumor found in the head and neck region. CS was first reported in 1859 by Billorth for the salivary gland tumor. The usual presentation is an slowly growing, asymptomatic mass. A 53-year-old female with a history of chondroid synringoma had presented with multiple firm, nodular masses found in the left nostril area. The lesion had been excised 8 years prior and was diagnosed histopathologically, but had gradually recurred. Excision of the mass located in subcutaneous layer revealed four whitish, firm tumors surrounded with capsular tissue. Neither recurrence nor complications occurred during the 18 months follow-up period. In the head and neck region, chondroid syringoma should always be considered in differential diagnosis of soft tissue masses despite its rare incidence. For that reason, excisional biopsy with clear margin is the optimal diagnostic as well as therapeutic choice. We report a case of recurred chondroid syringoma on the nose in female patient.
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Affiliation(s)
- Young Mook Yun
- Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Seungho Shin
- Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Hyunwoo Kyung
- Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Seung Han Song
- Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Nakheon Kang
- Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea
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Perumal CJ, Meyer M, Mohamed A. A giant pleomorphic adenoma of the submandibular salivary gland: a case report. Craniomaxillofac Trauma Reconstr 2013; 5:185-8. [PMID: 23997863 DOI: 10.1055/s-0032-1322530] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2011] [Accepted: 03/30/2011] [Indexed: 10/28/2022] Open
Abstract
The most common benign salivary gland tumor is the pleomorphic adenoma (PA). They can attain grotesque proportions and weigh several kilograms. They can cause facial disfigurement and, if untreated, could lead to airway compromise. We report a case of a large PA arising from the left submandibular salivary gland in a 20-year-old black female. The lesion measured ∼16 × 15 × 12 cm.
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Affiliation(s)
- Colin J Perumal
- Department of Maxillofacial and Oral Surgery, School of Oral Health Sciences, University of Limpopo, Pretoria, Gauteng, South Africa
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Plemorphic adenoma of the infratemporal space: a new case report. Int J Otolaryngol 2010; 2009:529350. [PMID: 20169128 PMCID: PMC2821647 DOI: 10.1155/2009/529350] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2009] [Revised: 09/17/2009] [Accepted: 12/06/2009] [Indexed: 11/17/2022] Open
Abstract
Plemorphic adenoma is a frequent benign tumor of the major salivary glands. It could also develop from accessory salivary glands. We are reporting an extremely rare case of pleomorphic adenoma developing from the infratemporal space. The final diagnosis was based on histological confirmation. The treatment was mainly a complete resection via an anterior transmaxillary approach. Diagnosis, clinical behaviour, and treatment of pleomorphic adenoma of the infra-temporal space are reviewed from the literature.
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Pleomorphic adenoma originating from the trachea showing the appearance of a follicular tumor of the thyroid on ultrasonography. J Med Ultrason (2001) 2009; 37:27-30. [PMID: 27277607 DOI: 10.1007/s10396-009-0245-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2009] [Accepted: 09/16/2009] [Indexed: 01/24/2023]
Abstract
Pleomorphic adenoma (PA) is the most common tumor of the salivary gland. This report presents a case of a PA originating from the trachea that looked like a thyroid neoplasm on ultrasonography, showing a well-circumscribed, hypovascular, solid, and hypoechoic tumor within the thyroid. The tumor was resected with the right lobe of the thyroid and the first tracheal ring, which revealed a PA impacted within the thyroid. PAs originating outside of the salivary glands are rare, and there have been no reports of PAs arising from the lateral side of the trachea. This report describes the first reported, and unique, case of this type of tumor.
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Brewer NH, Bridges MA. Chondroid syringoma of the nasal soft tissue triangle. Otolaryngol Head Neck Surg 2009; 140:606-7. [PMID: 19328357 DOI: 10.1016/j.otohns.2008.12.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2008] [Revised: 11/24/2008] [Accepted: 12/10/2008] [Indexed: 11/26/2022]
Affiliation(s)
- Nathan H Brewer
- Department of Family Medicine, Langley Air Force Base Medical Center, VA, USA
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