Monotypic angiomyolipoma of the nasal cavity: An extremely rare cause of nasal mass with recurrent epistaxis

Autor: Prajakta A Gupte, Manisha Khare, Yasmeen Khatib, Vinita Pandey, Rahul Pandey
Rok vydání: 2020
Předmět:
Zdroj: Indian Journal of Pathology and Microbiology. 63:106
ISSN: 0377-4929
DOI: 10.4103/ijpm.ijpm_681_18
Popis: Monotypic angiomyolipoma is usually found in the kidneys and is composed predominantly of epithelioid cells which show positivity for melanocyte and smooth muscle markers. It can pose a diagnostic challenge due to a range of differential diagnosis. We report the second case of monotypic angiomyolipoma of nasal cavity and first from India in a 54-year-old male who presented with a nasal polyp. Grossly the tumor was well circumscribed and un-encapsulated. Microscopy showed a large number of epithelioid cells mixed with a few spindle cells, varying sized blood vessels, and focal areas of adipose tissue. Immunohistochemistry was positive for smooth muscle actin (SMA) and human melanoma black (HMB-45) stains. It is important to identify this tumor as it can sometimes be mistaken for malignancy and only needs endoscopic resection.
Databáze: OpenAIRE