The Unparalleled Presentations of the Hideous Pleomorphic Adenomas - 2 Year Study

Pleomorphic adenomas arising in the lacrimal gland are extremely uncommon, despite the large numbers of minor mucous and serous glands in the region. We present rare cases (5) compilations of a pleomorphic adenomas arising from the lacrimal gland, a two year study. Age ranged from 45-60years, predominantly women with most common complaints of nasal obstruction for 5-6 months. Flexible nasal endoscopy for all these patients showed a prominent swelling which was in continuity with the anterior part of the right inferior turbinate followed by left inferior turbinate. Computed tomography revealed well-defined, soft tissue dense lesion in the anterior nasal cavity. All the patients underwent a formal surgery to obtain definite diagnosis via a lateral rhinotomy incision. Intra-operatively, a soft mass was seen arising from the lateral nasal wall and the final histology for all 5 cases confirmed pleomorphic adenoma with a predominant stromal component. The main treatment modality is surgical resection with histological clear margins. Good exposure is necessary to ensure complete excision of the tumour, more so when its cellular pattern shows stromal predominance. In our cases, the patients demonstrated satisfactory cosmetic results with no evidence of recurrence.