Nasal Pleomorphic Adenoma: A Case Report

Objective Pleomorphic adenomas are the most common type of salivary gland tumors, wich can involve all major and minor salivary glands including also and upper respiratory and alimentary tracts, and rarely other places. These are benign tumors with continuous and discrete growth. Without treatment the mass can reach enormous size. Material and Metods We present a case of a massive pleomorphic adenoma in a 27-year-old female with a history of more than 15 years growing lesion, origin from his left nasal wing. Clinical examination showed a giant and multinodular tumour mass with soft-elastic consistency. Results The tumor was completely resected by total excision and folowed by macroscopically and histological examination. The histopathological conclusion was pleomorphic adenoma with negative surgical margins. Discussion Pleomorphic adenomas engage most frequently the major glands but may also arise from the minor salivary glands of the sinonasal region and nasopharynx. They also may arise from within the paranasal sinuses, but frequently the paranasal cavities are involved secondary from an intranasal lesion with extension. The differential diagnosis include other benign or malignant sinonasal tumors and the main treatment modality should be surgical.