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Paediatric Pathology Online

Pathology of Pediatric Nasal Lesions

Dr Sampurna Roy MD  





Nasal lesions can be confused with rhabdomyosarcoma and include rare inflammatory polyps with atypical stromal fibroblasts and sinonasal myxoma, a benign, locally destructive tumour.

Both lack a cambium layer, nuclear hyperchromasia, desmin or MyoD1. immunohistochemical reaction.

Paediatric Pathology Online

Juvenile nasopharyngeal angiofibroma presents almost exclusively in adolescent males and consists of irregular vascular channels in a fibrous stroma, is benign and appears to be a vascular malformation.

Juvenile Nasopharygeal Angiofibroma

In early infancy a variety of nasopharyngeal midline masses present as a respiratory or feeding difficulty and include teratoma, encephalocoele, glial heterotopia, congenital hairy polyp and craniopharyngioma.

Salivary gland anlage tumour is a polypoid lesion of the nasopharynx that presents with respiratory distress at birth or within the first few days or weeks of life.

Salivary gland anlage tumour of the nasopharynx

Heterotopic Glial Nodule



Further reading:

Sinonasal myxoma: a pediatric case.

Pediatric sinonasal rhabdomyosarcoma: three cases and a review of the literature.

Midline nasal mass in infancy: a nasal glioma case report.

Lobular capillary haemangioma of the nasal cavity: observation of three specific cases.

Primary nasal-paranasal oropharyngeal lymphoma in the pediatric age group.

Problems in pediatric otorhinolaryngic pathology. IV. Epithelial and lymphoid tumors of the sinonasal tract and nasopharynx.

Problems in pediatric otorhinolaryngic pathology, III. Teratoid and neural tumors of the nose, sinonasal tract, and nasopharynx.

Problems in pediatric otorhinolaryngic pathology. II. Vascular tumors and lesions of the sinonasal tract and nasopharynx.

Problems in pediatric otorhinolaryngic pathology. I. Sinonasal and nasopharyngeal tumors and masses with myxoid features.

Nasal mass in a pediatric patient.



Dr Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)


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