The most common benign tumour of the major salivary glands is the pleomorphic adenoma. They are seen rarely in the minor salivary glands, usually in hard palate, soft palate and nasopharynx. Pleomorphic adenomas in nasal cavity are unusual and may be misdiagnosed because they have predominant myoepithelial cellularity and fewer myxoid stromata compared with those elsewhere. We present a case of 38-year-old male with a 2-year history of left nasal obstruction and epistaxis since 6 months. Diagnostic nasal endoscopic examination showed a soft lobulated mass in left nasal cavity attached to anterior part of the septum. Radiological examination demonstrated soft tissue mass filling left nasal cavity with an eroded septum. The biopsy from the mass was suggestive of pleomorphic adenoma and was resected endoscopically. Histopathological examination was consistent with pleomorphic adenoma. These are rare tumours of the nasal cavity and can be managed effectively with the endoscopic approach.
Arteriovenous malformations (AVM) are congenital vascular anomalies but are usually first noticed in childhood or adulthood. Head and neck is the most common location for AVM. Extracranial lesions are rare compared to intracranial lesions. The rapid enlargement of the malformation leading to symptoms is usually triggered by trauma or hormonal changes of puberty or pregnancy. Traumatic AVM of the head and neck are very rare. Here we report a case of AVM of cheek in an adult woman developed following a dental treatment. The diagnosis was confirmed by imaging and was treated surgically after angiography and embolization.
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