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      Presentación inusual del adenoma pleomorfo congénito de fosa nasal en neonato Translated title: Unusual presentation of congenital pleomorphic adenoma of the nostril in a newborn

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          Abstract

          RESUMEN Introducción: El adenoma pleomorfo es la neoplasia benigna más frecuente en las glándulas salivales, su localización en vías aéreas superiores es poco frecuente. Objetivo: Describir la inusual presentación de un adenoma pleomorfo congénito nasal, no descrito con anterioridad en Cuba. Presentación del caso: se presenta un caso raro de recién nacido con datos clínicos de obstrucción nasal horas después de su nacimiento. Previos estudios y resultado de biopsia del tumor intranasal determinaron adenoma pleomorfo congénito. Se realizó exéresis de tumor por cirugía endoscópica nasal. Conclusiones: El adenoma pleomorfo debe ser considerado un diagnóstico diferencial en todas las edades; sospechar ante un paciente con síntomas de obstrucción unilateral o epistaxis. Un diagnóstico temprano permite un tratamiento oportuno con abordaje quirúrgico endoscópico menos invasivo y una menor tasa de recidiva. Este tumor se destaca por su potencial recurrencia o transformación maligna por lo que es importante mantener vigilancia endoscópica e imagenológica.

          Translated abstract

          ABSTRACT Introduction: Pleomorphic adenoma is the most frequent benign neoplasm in the salivary glands; its location in the upper airways is rare. Objective: Describe the unusual presentation of a nasal congenital pleomorphic adenoma, not previously described in Cuba. Case Presentation: A rare case of a newborn with clinical data of nasal obstruction hours after birth is presented. Previous studies and biopsy result of the intranasal tumor determined congenital pleomorphic adenoma. Tumor excision was performed by endoscopic nasal surgery. Conclusions: Pleomorphic adenoma should be considered a differential diagnosis at all ages. Suspecting should be normal when a patient has symptoms of unilateral obstruction or epistaxis. Early diagnosis allows timely treatment with a less invasive endoscopic surgical approach and a lower rate of recurrence. This tumor stands out for its potential recurrence or malignant transformation, so it is important to maintain endoscopic and imaging surveillance.

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          Most cited references13

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          Tumores de glándulas salivales en la infancia. Importancia de un diagnóstico y tratamiento precoz

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            Tumores de glándulas salivales

            R Fazzini (2000)
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              Pleomorphic Adenoma of the Nasal Vestibule - A Rare Case

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                Author and article information

                Journal
                ped
                Revista Cubana de Pediatría
                Rev Cubana Pediatr
                Editorial Ciencias Médicas (Ciudad de la Habana, , Cuba )
                0034-7531
                1561-3119
                March 2022
                : 94
                : 1
                : e1500
                Affiliations
                [2] La Habana orgnameHospital Pediátrico Docente Universitario William Soler Ledea orgdiv1Departamento de Otorrinolaringología orgdiv2Departamento Docencia-Investigación Cuba
                [1] La Habana orgnameHospital Pediátrico Docente Universitario William Soler Ledea orgdiv1Departamento de Otorrinolaringología Cuba
                [3] La Habana orgnameHospital Clínico Quirúrgico Joaquín Albarrán orgdiv1Departamento de Otorrinolaringología Cuba
                [4] La Habana orgnameCentro de Neurociencias de Cuba Cuba
                Article
                S0034-75312022000100014 S0034-7531(22)09400100014
                baa1e535-b6be-4af0-a8ff-5180e83b9714

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 11 March 2021
                : 12 September 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 0
                Product

                SciELO Cuba

                Categories
                PRESENTACION DE CASOS

                cirugía endoscópica,congenital pleomorphic adenoma,nasal septum,endoscopic surgery,adenoma pleomorfo congénito,tabique nasal

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