Pleomorphic adenoma of lateral nasal wall presenting with epiphora

We report a rare case of pleomorphic adenoma arising from the lateral nasal wall which was incidentally detected at a very early stage. A 38-year-old man presented to the ophthalmology department with a 2-year history of epiphora from the left eye. He was referred to otorhinolaryngology department as a candidate for endoscopic dacryocystorhinostomy. Nasal endoscopy revealed a polypoid mass on the left lateral nasal wall arising near the uncinate process and protruding into the middle meatus. Endoscopic excision of the mass and a concomitant endoscopic dacryocystorhinostomy and functional endoscopic sinus surgery were done. Histopathological examination was compatible with pleomorphic adenoma having tumour-negative surgical margins. He was free from the disease 24 months after the surgery.