Publication:

A classic triphasic pleomorphic adenoma of nasal cavity mimicking as malignancy: a rare case report

Pleomorphic adenoma (PA) is the most common benign tumor of major salivary glands and intra nasal PA is unusual which may be misdiagnosed as malignancy. A 65-year-old female presented with unilateral nasal bleeding and nasal obstruction in right nasal cavity for 6 months. Local examination showed polypoid mass which surgically excised. HPE showed classic triphasic component of epithelial, myoepithelial with cartilaginous stromal elements and pathological diagnosis of PA made. High cellularity of tumor and predominant squamous epithelial component with keratin pearl created diagnostic confusion of malignancy and it confirmed by immune-histochemistry using p63 to demonstrate presence of myoepithelial component. Highlighted this case report for its unusual location and rare triphasic component of tumor tissue with keratin pearl formation which mimic as malignancy.