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Case report
Myoepithelioma of nasal septum: a rare minor salivary gland tumour
  1. Govind Gourh1,
  2. Ripu D Arora1,
  3. Nighat Hussain2 and
  4. Nitin Nagarkar1
  1. 1 ENT Department, AIIMS, Raipur, Chhattisgarh, India
  2. 2 Department of Pathology and Lab Medicine, AIIMS, Raipur, Chhattisgarh, India
  1. Correspondence to Dr Ripu D Arora, ripuarora{at}aiimsraipur.edu.in

Abstract

Myoepithelioma is rare benign neoplasm, usually involves salivary glands and very less often seen in minor salivary glands of nose. Clinically it resembles like other tumour masses and thus posed challenge to clinician and pathologist. It becomes very difficult to diagnose due to its varied presentation and propensity for malignant transformation. We reported a case of a male patient with pink fleshy mass in the left nose with epistaxis and nasal obstruction. Preliminary biopsy and contrast-enhanced CT were done to delineate tumour size and type and then patient underwent endoscopic en-bloc resection. Histopathology and immunohistochemistry were found to be consistent for myoepithelioma. No recurrence was seen during a 6-month follow-up period. Its rarity should be a part of differential diagnosis among nasal tumours. Many of the tumour recurrences are associated with incomplete surgical resection so wide local excision with regular follow-up is essential for this rare entity.

  • Ear, Nose And Throat
  • Head And Neck Cancer
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Footnotes

  • not commissioned

  • Contributors GG: preparation of article draft and data gathering. RDA: operating surgeon, preparation of article draft and revising. NH: histopathological details and data gathering. NN: approval of final version of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

  • Patient and public involvement No

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