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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2002 March;52(1):21-5
Pleomorphic adenoma of the nasal cavity. Clinical case and review of the literature
Frenguelli A., Rizzo S., Bizzotti C., Bernardini M., Longari F., Bracchi E.
Università degli Studi - Perugia Dipartimento delle Specialità Medico-Chirurgiche Sezione di Otorinolaringologia (R)
A case of pleomorphic adenoma of the nasal cavity starting from the head of the inferior turbinated bone is reported. Pleomorphic adenoma is undoubtedly the most frequent tumour of the major and minor salivary glands. Occasionally the tumour may arise in atypical sites owing to the persistence of ectopic embryonal residues of salivary glandular tissue. The literature describes rare cases of pleomorphic adenoma localisation in atypical sites. The lesion may be ignored for a long time because of the lack of symptoms related to this pathology. The treatment of choice is surgery and removal of the tumour must be as extensive as possible to prevent the onset of recurrences. We present a case of pleomorphic adenoma which arose in correspondence with the inferior turbinated bone. The patient reached us with nasal occlusion symptoms. After carrying out the necessary clinical and instrumental investigations, he was submitted to surgery and later discharged in good condition. Pleomorphic adenoma is a benign tumour although cases of malignant evolution have been described. It is precisely the potential malignant transformation of this tumour that makes it necessary to carry out a correct differential diagnosis and, following surgical removal of the tumour, apply a targeted, long-term follow-up.