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OTORINOLARINGOLOGIA

Rivista di Otorinolaringologia, Chirurgia Maxillo-Facciale,
Chirurgia Plastica Ricostruttiva, Otoneurochirurgia


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Otorinolaringologia 2015 March;65(1):17-22

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endoscopic laser resection of myoepithelioma of the nasal septum: case report and review of literature

Riva G. 1, Sensini M. 1, Corvino A. 1, Molinaro L. 2, Pecorari G. 1, Garzaro M. 1

1 First ENT Division, Surgical Sciences Department, University of Turin, Turin, Italy; 2 Department of Biomedical Sciences and Human Oncology, University of Turin, Turin, Italy


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Myoepithelioma is a rare benign neoplasm which can occur in either the major or minor salivary glands. Extrasalivary myoepithelioma are uncommon, with ten cases reported in the sinonasal cavity. We present a complete review of the literature regarding sinonasal localization and we report a new case of myoepitelioma arising from the nasal septum. A 67-year-old man presented with right sided nasal obstruction and recurrent epistaxis, due to a nasal myoepithelioma, which is endoscopically resected with diode laser. Histopatological examination showed a predominant solid pattern of spindle shaped cells; however a minor component of reticular pattern and islands of plasmocitoid cells were present. Immunohistochemistry was important for the diagnosis. No evidence of tumor recurrence was seen in the 3 months following surgery. Nasal myoepithelioma represents a rare tumor. Complete resection is important to avoid recurrence. Endoscopic excision by means of diode laser can represent a safe procedure with good results.

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Riva G, Sensini M, Corvino A, Molinaro L, Pecorari G, Garzaro M. Endoscopic laser resection of myoepithelioma of the nasal septum: case report and review of literature. Otorinolaringol 2015 March;65(1):17-22. 

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