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Pediatric Sinonasal Pleomorphic Adenoma: A Case Report.
Raghad Alshammasi1, Holly Jones1, Michael Walsh1
1Department of Otorhinolaryngology, Children's Health Ireland at Temple Street, Dublin, Ireland.
Journal of Rhinology : Official Journal of the Korean Rhinologic Society
|December 12, 2024
Summary
This case study details the first pediatric sinonasal pleomorphic adenoma, a benign nasal tumor. Endoscopic surgery proved effective for this rare condition in a 9-year-old, highlighting early diagnosis and monitoring for optimal outcomes.
Area of Science:
- Pediatric Otolaryngology
- Otorhinolaryngology
- Pediatric Oncology
Background:
- Pleomorphic adenomas are common benign salivary gland tumors, typically diagnosed in adults.
- Sinonasal pleomorphic adenomas are rare, with limited data on pediatric cases.
- This study addresses the unique presentation and management of this tumor in a pediatric patient.
Observation:
- A 9-year-old boy presented with progressive nasal obstruction and epistaxis.
- A 2-cm pleomorphic adenoma was identified on the right anterior nasal septum.
- The tumor was successfully resected via an endoscopic approach.
Findings:
- Endoscopic resection with clear margins is the primary treatment for sinonasal pleomorphic adenoma.
- This approach minimizes patient morbidity and reduces the risk of tumor recurrence.
- Histology, imaging, and management strategies were discussed in detail.
Implications:
- Early diagnosis and precise surgical intervention are crucial for pediatric sinonasal pleomorphic adenoma.
- Long-term clinical surveillance is recommended due to an 8.8% estimated recurrence rate.
- This case provides valuable insights for managing rare nasal tumors in children.
