Öz
Adenolipoma is a rare benign neoplasm composed of both mature adipose tissue and glandular elements. In this article we report a case of 19-year-old woman, who had nasal blockage and deformity. On examination, a round, soft, nonpulsatile submucosal mass in the cartilagenous vault of the right nasal cavity was found. There was also alar rim notching, nostril asymmetry on the right side and septal deviation towards the opposite side. Computed tomography revealed a clearly demarcated dense mass located at the right submucopericondrial level obstructing the nasal passage. An open septorhinoplasty approach was preferred to remove the mass and also to correct the deformities caused by the mass. The histopathologic examination was reported as an adenolipoma. No recurrence was observed during postoperative two year follow-up. To our knowledge, this is the first case report of an adenolipoma of the nose in the English literature.
Anahtar Kelimeler
Kaynakça
- Daboin KP, Ochoa-Perez V, Luna MA. Adenolipomas of the head and neck: analysis of 6 cases. Ann Diagn Pathol 2006;10:72-6.
- Pryor SG, Orvidas LJ, Moore EJ. Lipoma of the nasal dorsum: an unusual presentation of a common neo- plasm. Otolaryngol Head Neck Surg 2007;136:151-2.
- Brown K, Brown OE. Congenital malformations of the nose. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE. Pediatric oto- laryngology head and neck surgery. St. Louis: Mosby; 1999. p. 92-103.
- Som PM, Scherl MP, Rao VM, Biller HF. Rare presen- tations of ordinary lipomas of the head and neck: a review. AJNR Am J Neuroradiol 1986;7:657-64.
- Tien RD, Hesselink JR, Chu PK, Szumowski J. Improved detection and delineation of head and neck lesions with fat suppression spin-echo MR imaging. AJNR Am J Neuroradiol 1991;12:19-24.
Öz
Adenolipom nadir görülen, glandular elementler ve matür yağ dokusu içeren selim bir tümördür. Bu yazıda, burun tıkanıklığı ve deformitesi olan 19 yaşında bir kadın olgu sunuldu. Fizik muayenesin- de sağ nazal kavite kartilajenöz çatıda yuvarlak, yumuşak, pulsasyon vermeyen submukozal kitle saptandı. Ayrıca sağ tarafta alar rim düzensizliği, nostril asimetrisi ve karşı tarafa septum deviyasyonu vardı. Bilgisayarlı tomografi incelemesinde sağ sub- mukoperikondrial seviyede yerleşimli nasal pasajı kapatan düzgün sınırlı, yoğun içerikli kitle saptandı. Kitleyi çıkarmak ve neden olduğu deformiteyi de düzeltmek için açık septorinoplasti yaklaşımı tercih edildi. Histopatolojik inceleme sonucu adenolipom olarak bildirildi. Ameliyat sonrası iki yıllık takip süre- since nüks görülmedi. Bildiğimiz kadarıyla, bu olgu İngilizce literatürde bildirilen ilk burunda adenolipom olgusudur
Anahtar Kelimeler
Kaynakça
- Daboin KP, Ochoa-Perez V, Luna MA. Adenolipomas of the head and neck: analysis of 6 cases. Ann Diagn Pathol 2006;10:72-6.
- Pryor SG, Orvidas LJ, Moore EJ. Lipoma of the nasal dorsum: an unusual presentation of a common neo- plasm. Otolaryngol Head Neck Surg 2007;136:151-2.
- Brown K, Brown OE. Congenital malformations of the nose. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE. Pediatric oto- laryngology head and neck surgery. St. Louis: Mosby; 1999. p. 92-103.
- Som PM, Scherl MP, Rao VM, Biller HF. Rare presen- tations of ordinary lipomas of the head and neck: a review. AJNR Am J Neuroradiol 1986;7:657-64.
- Tien RD, Hesselink JR, Chu PK, Szumowski J. Improved detection and delineation of head and neck lesions with fat suppression spin-echo MR imaging. AJNR Am J Neuroradiol 1991;12:19-24.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Ekim 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 20 Sayı: 5 |