Abstract
Tumors in the nasal septum originating from salivary glands are uncommon, and among them, pleomorphic adenomas represent a distinctive manifestation.This case study explores a female in her early thirties with a right-sided nasal mass, nasal obstruction, and intermittent bleeding. CT imaging revealed a lesion arising from the nasal septum with bony erosion. Histopathology confirmed pleomorphic adenoma,emphasizing the importance of thorough clinical evaluation, imaging, and biopsy for accurate diagnosis. Pleomorphic adenomas, typically found in major salivary glands, can occur in the respiratory tract, presenting challenges in distinguishing them from malignant tumors. Treatment involves wide local resection, and postoperative recurrence may necessitate radiotherapy. While intranasal pleomorphic adenomas generally have a favorable prognosis, those arising from the nasal septum have an elevated likelihood of malignancy. Vigilant monitoring is crucial due to the potential for recurrence, malignant transformation, and metastasis.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Jassar P, Stafford N, Macdonald A: Pleomorphic adenoma of the nasal septum. J Laryngol Otol. 1999, 113:483–485. https://doi.org/10.1017/S0022215100144299.
Gana P, Masterson L: Pleomorphic adenoma of the nasal septum: a case report. J Med Case Rep. 20,082, 349–2008. https://doi.org/10.1186/1752-1947-2-349.
Batsakis JG: Tumors of the Head and Neck. 2:76–99. https://doi.org/10.1002/hed.2890030117.
Compagno J, Wong RT: Intranasal mixed tumours (pleomorphic adenomas): A clinicopathologic study of 40 cases. Am J Clin Pathol. 1977, 68:213–218. https://doi.org/10.1093/ajcp/68.2.213.
Wakami S, Muraoka M, Nakai Y: Two cases of pleomorphic adenoma of the nasal cavity. Nippon Jibiinkoka Gakkai Kaiho. 1996, 99:38–45. https://doi.org/10.3950/jibiinkoka.99.38.
Mackie T, Zahirovic A: Pleomorphic adenoma of the nasal septum. Ann Otol Rhinol Laryngol. 2004, 113:210–211. https://doi.org/10.1177/000348940411300307.
Baron S, Koka V, El Chater P, Cucherousset J, Paoli C: Pleomorphic adenoma of the nasal septum. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2014, 131:139–141.
Avishay G, Yudith B, Fradis Milo: Pleomorphic nasoseptal adenoma. J Otolaryngol. 1997, 26:399–401.
Rauchfuss A, Stadtler F: The differential diagnosis of benign neoplasms of the nasal septum. HNO. 1981, 29:124–127.
Freeman FB, Kennedy KS, Parker GS, Tatum SA: Metastasizing pleomorphic adenoma of the nasal septum. Arch Otolaryngol Head Neck Surg. 1990, 116:1331–1333. https://doi.org/10.1001/archotol.1990.01870110103014.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Karthikeyan, P., Ashish, S. Unveiling a Nasal Enigma: Pleomorphic Adenoma of Nasal Septum Causing Chronic Obstruction and Epistaxis. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04640-9
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12070-024-04640-9