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Persistent adenoid presenting as a nasopharyngeal mass
The Journal of Otolaryngology
|August 1, 1980
Summary
Hypertrophied adenoid tissue can cause adult nasopharyngeal masses, leading to nasal obstruction or otitis media. Clinical investigation, including biopsy, is crucial for diagnosis and ruling out other conditions.
Area of Science:
- Otolaryngology
- Pathology
Background:
- Adenoid tissue, part of Waldeyer's ring, typically regresses after adolescence.
- Persistent or hypertrophied adenoid tissue can occur in adults.
Purpose of the Study:
- To investigate the occurrence and presentation of hypertrophied adenoid tissue in adult patients with nasopharyngeal masses.
Main Methods:
- Retrospective review of 12 adult patients investigated for nasopharyngeal masses.
- Clinical evaluation including presenting symptoms and history of allergic disease.
- Histopathological confirmation via biopsy.
Main Results:
- Hypertrophied adenoid tissue was diagnosed in 12 adults (ages 17-64).
- Common presenting symptoms included nasal obstruction and serous otitis media.
- Four patients had a history of allergic disease.
Conclusions:
- Adult-onset symptomatic hypertrophied adenoid tissue is a possible cause of nasopharyngeal masses.
- Comprehensive clinical workup, including biopsy, is necessary to differentiate from other pathologies.