tailieunhanh - Báo cáo y học: "Pleomorphic adenoma of the nasal septum: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pleomorphic adenoma of the nasal septum: a case report | Journal of Medical Case Reports BioMed Central Open Access Pleomorphic adenoma of the nasal septum a case report Polycarp Gana1 and Liam Masterson 2 Address 1ENT Department Queen Alexandra Hospital Portsmouth PO6 3LY UK and 2ENT Department Edith Cavell Hospital Bretton Gate Peterborough Pe3 9GZ UK Email Polycarp Gana - pgana7446@ Liam Masterson - lmm398@ Corresponding author Published 17 November 2008 Received 9 January 2008 Journal of Medical Case Reports 2008 2 349 doi 1752-1947-2-349 Accepted 17 November 2008 This article is available from http content 2 1 349 2008 Gana and Masterson licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Introduction Pleomorphic adenomas are the most common benign tumour of the major salivary glands. In addition they may also occur in the minor salivary glands of the hard and soft palate. Intranasal pleomorphic adenomas are unusual and may be misdiagnosed because they have greater myoepithelial cellularity and fewer myxoid stromata compared to those elsewhere. Case presentation We present the case of a 61-year-old man who presented with a 2-year history of left nasal obstruction occasional epistaxis and facial pain. Radiological examination demonstrated well pneumatised paranasal sinuses and a soft tissue mass in the anterior aspect of the left nasal cavity. In this patient an intranasal approach was used to achieve a wide local resection. Conclusion Pleomorphic adenomas are rare tumours of the nasal cavity and have been shown to be misdiagnosed in over half of cases leading to more aggressive treatment than is necessary. If unilateral nasal obstruction .