Atypical Presentations of Pleomorphic Adenoma

Objective: Report 2 cases of pleomorphic adenoma with different clinical presentations and unusual locations—the uvula and inferior nasal turbinate (INT)—and discuss the variety of presentings in this type of tumor. Method: Report of 2 cases of pleomorphic adenoma in unusual places. Results: Case 1: For 20 years, the patient complained of frequent choking and progressive growth of lesions in the uvula, then underwent uvuloplasty with total excision of the lesion. Case 2: The patient complained of progressive nasal obstruction in the right nasal cavity and had septoplasty and turbinectomy performed. CT of the paranasal sinuses revealed an extensive mass of inferior nasal turbinate to the right choana. An endoscopic right turbinectomy procedure was conducted. The pathology suggested pleomorphic adenoma. Conclusion: Pleomorphic adenoma located either in the uvula or the inferior nasal turbinate are rare. This neoplasm should always be considered in the differential diagnosis of head and neck injuries so that early surgical treatment might prevent its progression to malignancy.