ABSTRACT
Pleomorphic adenoma is the most common type of benign salivary gland tumor. It can also be found in the larynx, ear, neck, and nasal septum. It is rarely found in the maxillary sinus, and it has never been reported in the frontal sinus. We report a case of pleomorphic adenoma of the frontal sinus that masqueraded as a mucocele. We discuss the clinical presentation, diagnosis, and treatment of this patient, and we review the literature.
Subject(s)
Adenoma, Pleomorphic/diagnostic imaging , Frontal Sinus/diagnostic imaging , Paranasal Sinus Neoplasms/diagnostic imaging , Adenoma, Pleomorphic/pathology , Adenoma, Pleomorphic/surgery , Diagnosis, Differential , Female , Frontal Sinus/pathology , Frontal Sinus/surgery , Humans , Magnetic Resonance Imaging , Middle Aged , Mucocele/diagnosis , Paranasal Sinus Neoplasms/pathology , Paranasal Sinus Neoplasms/surgery , Tomography, X-Ray ComputedABSTRACT
Schwannomas of the nasal cavity and paranasal sinuses are quite rare, especially in the nasal vestibule. We report the case of a 61-year-old woman who presented with a 2-month history of progressively worsening right-sided epistaxis and nasal blockage. Rigid nasoendoscopy showed a mobile, smooth, globular mass occupying the right nasal vestibule. The mass arose from the lateral nasal wall and impinged on the anterior part of the middle turbinate posteriorly. Computed tomography of the paranasal sinuses showed a 3.8 × 1.7-cm enhancing mass in the right nostril. The mass obliterated the nasal cavity and caused mild deviation of the septum. The preoperative histopathologic examination showed positivity for vimentin and S-100 protein, suggesting a diagnosis of schwannoma. The patient underwent an intranasal laser-assisted excision biopsy. The histopathologic examination confirmed the diagnosis of schwannoma. Postoperative recovery was uneventful, and no recurrence was seen in the follow-up period.
Subject(s)
Neurilemmoma/diagnosis , Nose Neoplasms/diagnosis , Epistaxis/etiology , Female , Humans , Middle Aged , Nasal Obstruction/etiology , Neurilemmoma/complications , Neurilemmoma/surgery , Nose Neoplasms/complications , Nose Neoplasms/surgeryABSTRACT
Ingested foreign bodies are a fairly common otorhinolaryngological emergencies encountered in Malaysia. The vast majority of these foreign bodies are fish bones which most commonly are impacted at the level of the cricopharynx. Rarely, however, a foreign body may migrate extraluminally and may even extrude subcutaneously. We report a rare occurrence where a fish bone not only migrated extraluminally, it was found to have migrated into the common carotid artery and the internal jugular vein and required surgical removal.
