Importance of Histopathology in Diagnosis of Unilateral Nasal Polyps

Shah, Rameez

doi:10.11648/j.cmr.20140304.11

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…Historically, there has been debate around whether to send all unilateral nasal specimens for histological analysis. However, our experience of current practice is in line with the literature to continue the practice of sending all unilateral masses for histological analysis [3,6,7,8].…”

Section: Introductionsupporting

confidence: 67%

“…These can often caused by nasal polyposis, which affects around 4% of the general population and this common condition presents as part of chronic rhinosinusitis with nasal polpyposis (CRSwNP) [1]. Unilateral nasal masses can also be a presentation of benign and malignant tumours, such as inverted papilloma, squamous cell carcinoma, adenocarcinoma, and olfactory neuroblastoma, as well as other non-inflammatory pathologies, such as sarcoidosis and fungal rhinosinusitis [2][3][4][5]. Nasal polyps are caused by mucosal tissue overgrowth of the nasal cavities and paranasal sinuses [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Unilateral nasal masses can also be a presentation of benign and malignant tumours, such as inverted papilloma, squamous cell carcinoma, adenocarcinoma, and olfactory neuroblastoma, as well as other non-inflammatory pathologies, such as sarcoidosis and fungal rhinosinusitis [2][3][4][5]. Nasal polyps are caused by mucosal tissue overgrowth of the nasal cavities and paranasal sinuses [2][3][4][5]. Patients may present with nasal obstruction, hyposmia or anosmia, facial pain or pressure, nasal discharge, epistaxis, sleep disturbance, or may be asymptomatic [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Nasal polyps are caused by mucosal tissue overgrowth of the nasal cavities and paranasal sinuses [2][3][4][5]. Patients may present with nasal obstruction, hyposmia or anosmia, facial pain or pressure, nasal discharge, epistaxis, sleep disturbance, or may be asymptomatic [3][4][5]. Whilst most patients present with symptoms, the routine use of fiber-optic nasal endoscopy (FNE) to assess the pharynx may result in the identification of incidental nasal polyps that cause no nasal symptoms.…”

Section: Introductionmentioning

confidence: 99%

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A 10-Year Retrospective Review of the Histology of Symptomatic and Asymptomatic Unilateral Nasal Polyps

Diaz,

De Castro,

Reddy

et al. 2023

Cureus

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Background The aim of this study was to determine the histological diagnosis of unilateral nasal polyps and to determine the prevalence of neoplastic pathologies. This study also assessed difference in pathologies whether patients presented symptomatically or were asymptomatic (if they had a mass found incidentally for unrelated throat symptoms). Method This was a 10-year retrospective study of patients undergoing unilateral nasal mass surgery between 2004 and 2014 at a UK district general hospital. We recorded patient demographics, laterality, histology, symptoms, clinical suspicion, and imaging findings. Results 123 patients were included who underwent unilateral surgery between 2004 and 2014 (male n=83, female n=40; mean age 56 years ± 19.5). The majority were of inflammatory origin (n=92; 74.8%). The most common benign neoplastic cause was inverted papilloma (n=19; 15.4%). A number of malignant neoplastic causes were also found, including: melanoma (n=3; 2.44%), olfactory neuroblastoma (n=2; 1.63%), and other non-inflammatory masses (n=7; 5.69%). 15 of these masses were found incidentally, with 14 being inflammatory, and one an olfactory neuroblastoma; therefore, 6.67% of our incidental unilateral nasal masses were found to be of neoplastic pathology. Conclusion This study's findings support the continued practice of routine biopsy of unilateral nasal masses for histological diagnosis, irrespective of whether they are symptomatic or found incidentally. The accuracy of both clinical suspicion and radiological suspicion on CT scans is not adequate to alter this practice.

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Section: Introductionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A 10-Year Retrospective Review of the Histology of Symptomatic and Asymptomatic Unilateral Nasal Polyps

Diaz,

De Castro,

Reddy

et al. 2023

Cureus

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“…These are unique in position and composition. 2 On examination, polyps appear as pale bags of edematous tissue arising commonly from middle meatus and prolapsing into the nasal cavity. 3 Nasal polyps occlude the sinuses and lead to symptomatic sinusitis, pulmonary parameters often worsen and subsequently improve after successful treatment of sinus disease.…”

Section: Introductionmentioning

confidence: 99%

Clinical profile of cases with sino-nasal polyposis at a tertiary care hospital at North Karnataka: a cross-sectional study

Patil

Geeta

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal polyps are defined as pearly white, prolapsed, pendunculated oedematous Sino-nasal mucosa. They are unique in their position and their composition. Many hypotheses concerning its pathogenesis have been proposed. But till now there is no clear evidence for any single cause. This study was taken-up to study the clinical profile of cases with sino-nasal polyps.Methods: Cross-sectional descriptive study was conducted in the Department of Otolaryngology at Vijayanagara Institution of Medical Sciences, Bellary, between January 2016 to April 2016 involving 60 patients fulfilling inclusion and exclusion criteria. Pre-tested and edited proforma was used to collect the data. Results: Out of 60 participants, 63.4% were males, mean age was 29.5 years. Ethmoidal polyp (63.4%) was the most common polyp followed by antrochoanal polyp (33.4%). Ethmoidal polyp was most commonly observed 31-40 years age while antrochoanal polyp was observed in 11-20 years age. Ethmoidal polyp and antrochoanal polyp were observed more commonly in males and females respectively. The most common presenting symptoms were nasal obstruction and nasal discharge.Conclusions: Ethmoidal polyps are the most commonly observed sino-nasal polyps followed by antrochoanal polyp. Ethmoidal polyp was more commonly observed in adult age group while antrochoanal polyp was observed in children. The most common presenting symptoms were nasal obstruction and nasal discharge.

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Histopathological Patterns of Masses in the Nasal Cavity, Paranasal Sinuses and Nasopharynx

Ngairangbam¹,

Laishram²

2016

jebmh

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BACKGROUNDMasses in the nasal cavity, paranasal sinuses and nasopharynx are common and can be classified into non-neoplastic or neoplastic lesions. OBJECTIVESTo study the histopathological patterns of masses in the nasal cavity, paranasal sinuses and nasopharynx in Manipur, India. MATERIAL AND METHODSAll cases of specimens of masses in the nasal cavity, paranasal sinuses and nasopharynx from the period of April 2013 to September 2015 were included in the study. RESULTSA total of 102 cases were studied during the study period. Age ranged from 6 years to 80 years with slight male preponderance. Non-neoplastic lesions comprised of 59 cases (57.84%) and neoplastic lesions was 43 cases (42.16%). Inflammatory polyp comprised 46 cases (45%) and was the predominant lesion in the non-neoplastic group. Among the neoplastic lesions, malignant lesions (65.12%) predominated over benign lesions (34.88%). Undifferentiated carcinoma was the commonest malignant tumour and sinonasal papilloma was the commonest benign tumour. CONCLUSIONInflammatory polyps are the most common histological pattern with males affected more than females. KEYWORDSInflammatory polyp, nasopharynx, undifferentiated carcinoma.HOW TO CITE THIS ARTICLE: Ngairangbam S, Laishram RS. Histopathological patterns of masses in the nasal cavity, paranasal sinuses and nasopharynx.

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Importance of Histopathology in Diagnosis of Unilateral Nasal Polyps

Cited by 4 publications

References 8 publications

A 10-Year Retrospective Review of the Histology of Symptomatic and Asymptomatic Unilateral Nasal Polyps

A 10-Year Retrospective Review of the Histology of Symptomatic and Asymptomatic Unilateral Nasal Polyps

Clinical profile of cases with sino-nasal polyposis at a tertiary care hospital at North Karnataka: a cross-sectional study

Histopathological Patterns of Masses in the Nasal Cavity, Paranasal Sinuses and Nasopharynx

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