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Nasal epithelial myoepithelial carcinoma: An unusual cause of epiphora, a case report and review of the literature.

Flam JO, Brook CD, Sobel R, Lee JC, Platt MP - Allergy Rhinol (Providence) (2015)

Bottom Line: Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora.The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision.Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity.

View Article: PubMed Central - PubMed

Affiliation: Boston University School of Medicine, Boston, Massachusetts, USA.

ABSTRACT

Introduction: Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided.

Methods: A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity.

Results: Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision.

Conclusion: Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

No MeSH data available.


Related in: MedlinePlus

Mass noted in the left inferior meatus during nasal endoscopic examination. S = nasal septum; IT = inferior nasal turbinate; L = lateral wall of the nasal cavity; F = floor of nasal cavity.
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Figure 1: Mass noted in the left inferior meatus during nasal endoscopic examination. S = nasal septum; IT = inferior nasal turbinate; L = lateral wall of the nasal cavity; F = floor of nasal cavity.

Mentions: A 63-year-old man was referred to our department of otolaryngology with a 2-year history of epiphora and “sandy” feeling in the left eye. He reported a 1-year history of intermittent nasal crusting and bleeding that had become persistent. On ophthalmology examination, the left puncta appeared patent but small compared with the right puncta. Lower lid ectropion and blepharitis were noted bilaterally. Probing and irrigation demonstrated a 100% blockage of the left nasolacrimal system, with normal canaliculi, which indicated a distal obstruction. On nasal endoscopy, the nasal cavities were patent, but a friable mass was noted in the left inferior meatus (Fig. 1).


Nasal epithelial myoepithelial carcinoma: An unusual cause of epiphora, a case report and review of the literature.

Flam JO, Brook CD, Sobel R, Lee JC, Platt MP - Allergy Rhinol (Providence) (2015)

Mass noted in the left inferior meatus during nasal endoscopic examination. S = nasal septum; IT = inferior nasal turbinate; L = lateral wall of the nasal cavity; F = floor of nasal cavity.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4541636&req=5

Figure 1: Mass noted in the left inferior meatus during nasal endoscopic examination. S = nasal septum; IT = inferior nasal turbinate; L = lateral wall of the nasal cavity; F = floor of nasal cavity.
Mentions: A 63-year-old man was referred to our department of otolaryngology with a 2-year history of epiphora and “sandy” feeling in the left eye. He reported a 1-year history of intermittent nasal crusting and bleeding that had become persistent. On ophthalmology examination, the left puncta appeared patent but small compared with the right puncta. Lower lid ectropion and blepharitis were noted bilaterally. Probing and irrigation demonstrated a 100% blockage of the left nasolacrimal system, with normal canaliculi, which indicated a distal obstruction. On nasal endoscopy, the nasal cavities were patent, but a friable mass was noted in the left inferior meatus (Fig. 1).

Bottom Line: Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora.The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision.Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity.

View Article: PubMed Central - PubMed

Affiliation: Boston University School of Medicine, Boston, Massachusetts, USA.

ABSTRACT

Introduction: Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided.

Methods: A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity.

Results: Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision.

Conclusion: Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

No MeSH data available.


Related in: MedlinePlus