Adenolipoma of the nose: a case report

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...

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Published in:Kulak burun boğaz ihtisas dergisi Vol. 20; no. 5; pp. 264 - 266
Main Authors: Orhan, Kadir Serkan, Karaaltın, Mehmet Veli, Demirel, Tayfun, Polat, Beldan, Başaran, Bora
Format: Journal Article
Language:English
Published: Turkey KBB- BBC Derneği 01-09-2010
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Abstract 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.
AbstractList 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 muayenesinde 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 submukoperikondrial 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 süresince nüks görülmedi. Bildiğimiz kadarıyla, bu olgu İngilizce literatürde bildirilen ilk burunda adenolipom olgusudur. 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.
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.
Author Demirel, Tayfun
Başaran, Bora
Polat, Beldan
Karaaltın, Mehmet Veli
Orhan, Kadir Serkan
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References 2. Pryor SG, Orvidas LJ, Moore EJ. Lipoma of the nasal dorsum: an unusual presentation of a common neoplasm. Otolaryngol Head Neck Surg 2007;136:151-2.
3. Brown K, Brown OE. Congenital malformations of the nose. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE. Pediatric otolaryngology head and neck surgery. St. Louis: Mosby; 1999. p. 92-103.
4. Som PM, Scherl MP, Rao VM, Biller HF. Rare presentations of ordinary lipomas of the head and neck: a review. AJNR Am J Neuroradiol 1986;7:657-64.
1. Daboin KP, Ochoa-Perez V, Luna MA. Adenolipomas of the head and neck: analysis of 6 cases. Ann Diagn Pathol 2006;10:72-6.
5. 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.
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Snippet 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...
Adenolipom nadir görülen, glandular elementler ve matür yağ dokusu içeren selim bir tümördür. Bu yazıda, burun tıkanıklığı ve deformitesi olan 19 yaşında bir...
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StartPage 264
SubjectTerms Adenoma - diagnostic imaging
Adenoma - surgery
Female
Humans
Lipoma - diagnostic imaging
Lipoma - surgery
Nose Neoplasms - diagnostic imaging
Nose Neoplasms - surgery
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Title Adenolipoma of the nose: a case report
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