Int Arch Otorhinolaryngol 2013; 17(01): 092-095
DOI: 10.7162/S1809-97772013000100016
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Nasal paraganglioma: A case report and literature review

Lídio Granato
1   Professor, Department of Otolaryngology.
,
José Donato Próspero
1   Professor, Department of Otolaryngology.
,
Dino Martini Filho
2   Associate Professor, Department of Pathological Sciences.
› Author Affiliations
Further Information

Publication History

29 July 2008

24 September 2012

Publication Date:
06 January 2014 (online)

Summary

Introduction: Paragangliomas are neuroendocrine tumors that most commonly originate in the adrenal gland, a type that is called pheochromocytoma; however, 5–10% of paragangliomas are extra-adrenal and may arise in any area between the neck and pelvic region along the sympathetic nervous system. Those located in the head and neck comprise 3% of extra-adrenal tumors, with the majority originating in the tympanic–jugular region and carotid body.

Objective: To present a rare case of nasal paraganglioma and review the literature.

Case report: The patient was submitted to medial subtotal maxillectomy, and her clinical findings, diagnostic data, and treatment outcome were recorded.

Conclusion: Paragangliomas are considered benign tumors, but they occasionally display a malignant character. The most important finding in this case was the need for total resection of the tumor to avoid recurrence.

 
  • References

  • 1 Fries JG, Chamberlin JA. Extra-adrenal pheochromocytoma: literature review and report of a cervical pheochromocytoma. Surgery 1968; 63: 268-79
  • 2 Glenner GG, Grimley PM. Tumors of the extra-adrenal paraganglion system (including chemorececptors): Atlas of tumor pathology, 2nd ed. Washington, DC.: Armed Forces Institute of Pathology; 1974
  • 3 Zak FG, Lawson W. The paraganglionic chemoreceptor system. Springer, New York: Springer-Verlag; 1982
  • 4 Apple D, Kreines K. Cushing's syndrome due to ectopic ACTH production by a nasal paraganglioma. Am J Med Sci 1982; 283: 32-5
  • 5 Battiata AP, Vander Ark W, Adair C, Mair E. Pathology forum: quiz case. Diagnosis: intranasal glomus tumor. Arch Otolaryngol Head Neck Surg 2001; 127: 329-30
  • 6 Watson DJ. Nasal paraganglioma. J Laryngol Otol 1988; 102: 526-9
  • 7 Ketabchi S, Massi D, Santoro R, Franchi A. Paraganglioma of the nasal cavity: a case report. Eur Arch Otorhinolaryngol 2003; 260: 336-40
  • 8 Potter Jr AJ, Khatib G, Peppard SB. Intranasal glomus tumor. Arch Otolaryngol 1984; 110: 755-6
  • 9 DeBord BA. Unusual presentation in otolaryngology. Surg Clin North Am 1972; 52: 472-83
  • 10 Talbot AR. Paraganglioma of the maxillary sinus. J Laryngol Otol 1990; 104: 248-51
  • 11 Mavez M, Rusty C . In: Bailey B, Healy G, Johnson J. Head & Neck Surgery-Otolaryngology, 3nd ed. Philadelphia: Lippincott Williams & Wilkins; 2001
  • 12 Fu YS, Perzin KH. Nonepithelial tumors of the nasal cavity, paranasal sinuses and nasopharynx: a clinicopathologic study: I. General features and vascular tumors. Cancer 1974; 33: 1275-88
  • 13 Nguyen QA, Gibbs PM, Rice DH. Malignant nasal paraganglioma: a case report and review of the literature. Otolaryngol Head Neck Surg 1995; 113: 157-61
  • 14 Arens C, Dreyer T, Eistert B, Glanz H. Glomangioma of the nasal cavity. Case report and literature review. ORL J Otorhinolaryngol Relat Spec 1997; 59: 179-81
  • 15 Schuller DE, Lucas JG. Nasopharyngeal paraganglioma. Report of a case and review of literature. Arch Otolaryngol 1982; 108: 667-70