Management of Pleomorphic Adenoma in the Nasopharynx: A Case Report

Yıl 2015, Cilt: 32 Sayı: 1, 118 - 120, 01.01.2015

Zahide Mine Yazıcı Yakup Yeğin Mustafa Çelik Fatma Tülin Kayhan Ömer Erdur

Öz

Background: Pleomorphic adenomas (PAs) are the
most common type of benign salivary gland tumours
and usually originate from the major salivary glands.
PA originating from the nasopharynx has rarely been
reported in the literature.
Case Report: A 62 year-old male presented with right
aural fullness and subjective hearing loss. Otoscopic
examination revealed an opaque and bulging tympanic
membrane. Nasal endoscopic examination revealed a
smooth mass arising from the right wall of the nasopharynx,
obstructing the opening of the right Eustachian
tube. The MRI showed a 1.3x2x1.3 cm sharply
outlined and lobar mass in the right lateral wall of the
nasopharynx. The tumour was meticulously detached
from its attachment site and excised via the transnasal
route under endoscopic visualisation.
Conclusion: We reported pleomorphic adenoma in the
nasopharynx in a patient who presented with serous otitis
media that successfully resected with transnasal endoscopic
surgery and discussed the treatment methods.

Anahtar Kelimeler

Endoscopy, nasopharynx, pleomorphic adenoma

Kaynakça

• 1. Roh JL, Jung BJ, Rha KS, Park CI. Endoscopic resection of pleomorphic adenoma arising in the nasopharynx. Acta Otolaryngol 2005;125:910-2. [CrossRef]
• 2. Berrettini S, Fortunato S, De Vito A, Bruschini L. A rare case of nasopharyngeal pleomorphic adenoma. Case Rep Otolaryngol 2013;2013:712873.
• 3. Martinez-Capoccioni G, Martin-Martin C, Espinosa-Restrepo F. Transnasal endoscopic resection of a nasopharyngeal pleomorphic adenoma: a rare case report. Eur Arch Otorhinolaryngol 2012;269:2009-13. [CrossRef]
• 4. Maruyama A, Tsunoda A, Takahashi M, Kishimoto S, Suzuki M. Nasopharyngeal pleomorphic adenoma presenting as otitis media with effusion: Case report and literature review. Am J Otolaryngol 2014;35:73-6. [CrossRef]
• 5. Kuo YL, Tu TY, Chang CF, Li WY, Chang SY, Shiao AS et al. Extra-major salivary gland pleomorphic adenoma of the head and neck: a 10-year experience and review of the literature. Eur Arch Otorhinolaryngol 2011;268:1035-40. [CrossRef]
• 6. Ozer E, Waltonen J. Transoral robotic nasopharyngectomy: a novel approach for nasopharyngeal lesions. Laryngoscope 2008;118:1613-6. [CrossRef]