Quick Case: PEComa (perivascular epithelioid cell tumour) presenting as a nasal polyp

PECOMAA 38-year-old female presented with recurrent epistaxis for the last 11 months. Rhinoscopy revealed a right nasal polyp of 2.8 cm diameter with stalk. The clinical diagnosis was allergic nasal polyp. Polypectomy was done. Histopathology revealed classical morphology of perivascular epithelioid cell neoplasms (PEComas) which is very rare in this region. The stalk of the tumor was free from the lesion. The patient is doing well 3 months after surgery.
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Learning Points/Take Home Messages

In case of unilateral nasal polyp, mesenchymal tumors should also be suspected.

About The Author

Dr. Samanta, MBBS, MD is currently a consultant at Suraksha diagnostic PVT. LTD. Kolkata, India for histopath, cytopath and hematology. His other interests are: oncopathology, bone marrow and neuropathology.



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