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CDR Stephen B. Freeman, MC; CDR Kevin S. Kennedy, MC; CDR Gregg S. Parker, MC; Sherard A. Tatum, MD

Arch Otolaryngol Head Neck Surg. 1990;116(11):1331-1333.

Abstract
• Pleomorphic adenoma is the most common benign tumor of glandular tissue occurring in the head and neck region. There have been several reports of metastasis of this benign-appearing tumor from the salivary glands to distant sites, suggesting hematogenous spread and implantation. Although occurrence of pleomorphic adenoma on the nasal septum has been described, to our knowledge this is the first reported case of recurrent septal pleomorphic adenoma with histologically benign tissue in an enlarged metastatic ipsilateral submandibular lymph node, suggesting lymphatic spread. The literature concerning the subject is reviewed. Wide septal excision and modified neck dissection is the recommended treatment.

(Arch Otolaryngol Head Neck Surg. 1990;116:1331-1333)

Author Affiliations
USN; USNR; USN

From the Departments of Otolaryngology-Head and Neck Surgery, Naval Hospital, Portsmouth, Va, and F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Md (Drs Freeman, Kennedy, and Parker), and Eastern Virginia Medical School, Norfolk (Dr Tatum). Dr Freeman is now with the Department of Otolaryngology, University of Tennessee, Memphis.

Footnotes
Accepted for publication April 24, 1990.

Read before the Western Section Meeting of the Triological Society, Pebble Beach, Calif, January 7, 1990.

The opinions or assertions expressed herein are those of the authors and are not to be construed as official or reflecting the views of the Department of the Navy or the Department of Defense. The work reported herein was performed under the United States Navy Clinical Investigation Program, report No. 89-08-1969-82.

Reprint requests to Department of Otolaryngology, University of Tennessee, 956 Court Ave, Room B226, Memphis, TN 38163 (Dr Freeman).

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