Open Access Case Report

A Rare Case of Mixed Tumor of Right Nasal Sill Diagnosed Histopathologically more Frequently than Expected

Tan Shi Nee1,2,3*, Rajarajeswari Arunathan2 Mohd Shakir Bathusha4

1Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Tawau, Malaysia

2Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Lahad Datu, Malaysia

3Department of Otorhinolaryngology-Head and Neck Surgery, KPJ University College, Malaysia

4Department of Plastic, Reconstructive and Burns, Hospital Sultanah Nur Zahirah, Malaysia

Corresponding Author

Received Date: April 28, 2020;  Published Date: May 11, 2020

Abstract

Mixed tumor (MT) is an unusual, benign skin appendageal tumor, with an eccrine and apocrine origin, resembling mixed tumors of the salivary glands. Although it usually involves the head and neck region, the nasal region is a rare location. It develops as a slow-growing, small cutaneous mass. We report a rare case of mixed tumor in a 35-year-old female, who presented with a firm, asymptomatic mass in the right nasal sill, slowly growing for approximately 5 years. A provisional clinical diagnosis was made by fine needle aspiration cytology evaluation. The final diagnosis is confirmed by histopathological examination. This case highlights the importance of fine needle aspiration cytology in providing the essential clue to uncover the diagnosis and orient the surgical management of the patient. The excision and repair techniques require more skill and time, considering the location of the lesion.

Keywords: Chondroid syringoma; Mixed tumor; Pleomorphic adenoma; Fine needle aspiration cytology; Skin adnexal tumors

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