Sinonasal organising haematoma – a little known entity

Varghese, Lalee; Mukhopadhyay, Sabyasachi; Mehan, Raghav; Kurien, Regi; Thomas, Meera; Rupa, Vedantam

doi:10.1016/j.bjorl.2018.05.013

Cited by 9 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SOH has been associated with prior history of head and neck surgery, hypertension, coagulopathies, end stage renal disease and liver cirrhosis. [1][2][3] The history of alcoholic liver cirrhosis along with coagulopathies associated with cirrhosis may have contributed to the development of this lesion in our patient. A history of cigarette smoking and atopy have also been described in approximately 11% and 13% of those presenting with SOHs respectively.…”

Section: Discussionmentioning

confidence: 99%

“…They remain, however, a relatively unknown entity that is often mistaken for malignancy due to their expansive local destruction. 1 – 4 While demographic, clinical, and radiographic findings are useful in the diagnosis of this paranasal sinus mass, immunohistochemical evidence is often necessary to establish a definitive diagnosis. 3 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic dilemma – sinonasal organizing hematoma

James

Shackelford

Gudis

et al. 2020

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Sinonasal organizing hematomas are benign lesions often mistaken for malignancy due to their aggressive appearance on diagnostic imaging and endoscopic findings that favor advanced disease. The destructive nature of this pathology paired with the rarity of the presentation often results in diagnostic deception that may escalate intervention planning and affect discussion of prognosis with patients. Herein, we present a case of a 56-year-old male with left-sided nasal obstruction and daily epistaxis, where computed tomography imaging revealed heterogeneous opacification of the left maxillary sinus, erosion of the left inferior orbital wall and extension into the nasal cavity. Although clinical and radiographic presentations of sinonasal organizing hematomas can be managed definitively with endoscopic intervention, there is a need to increase awareness of this entity among clinicians to improve our prognostic counseling with patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diagnostic dilemma – sinonasal organizing hematoma

James

Shackelford

Gudis

et al. 2020

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…We have included a group of lesions, framed as "other lesions": 1) opacification, fibrosis and mucosal thickening, which is the most frequent radiological finding of the maxillary sinus [41], but which in our case was diagnosed as a polyp in the CRS; 2) a hyperostosis, which was confused with a benign tumour and which tend to be normal anatomical variations [43]; 3) an organized hematoma that was suspected to be malignant in a patient with chronic myeloid leukemia and that has been recently described [44]; 4) non-necrotizing granulomatous disease in a 33-year-old woman as part of a clinical picture of eosinophilic granulomatosis with polyangitis, an autoimmune systemic disease manifesting as asthma, recurrent sinusitis and peripheral eosinophilia [45].…”

Section: Discussionmentioning

confidence: 86%

Clinicopathological features of 214 maxillary sinus pathologies. A ten-year single-centre retrospective clinical study

et al. 2020

View full text Add to dashboard Cite

Background Diagnosis of maxillary sinus pathology must include the clinical radiological study (CRS) and histopathological analysis. The aim of this study is 1) to describe the clinicopathological features of maxillary sinus lesions, obtained successively in a single medical centre over the last 10 years and 2) to determine the sensitivity and specificity for the diagnosis of malignant lesions based exclusively on the CRS. Methods It is a single-centre observational retrospective clinical study on patients who attended the University Hospital Complex of Santiago de Compostela (CHUS) with sinus pathologies during the period of 2009–2019. Results The sample consisted of 133 men (62.1%) and 81 women (37.9%), with an average age of 46.9 years (SD = 18.8). In terms of frequency, the most frequent pathology was the unspecified sinusitis (44.4%), followed by polyps (18.2%), malignant tumours (9.8%), inverting papilloma (7.5%), fungal sinusitis (4.7%), cysts (3.7%), benign tumours (2.3%), mucocele (2.3%) and other lesions (1.9%). Cysts and benign tumours were diagnosed earliest Vs malignant tumours (65.2 years (SD = 16.1)) were diagnosed the latest (p < 0.001). Based only on the CRS for malignancies, diagnostic indexes were 71.4% sensitivity and 97.9% specificity, with a Kappa value of 0.68 with (p < 0.001). Conclusion Maxillary sinus pathology is very varied with therapeutic and prognostic repercussions. CRS is sometimes insufficient and histopathological confirmation is essential.

show abstract

“…Sinonasal organized hematoma is a rare condition that may mimic sinonasal neoplasms on imaging due to its round morphology, locally aggressive nature, and heterogeneous enhancement. The maxillary sinus is the most commonly reported site of involvement [2] , [3] , [4] . Symptoms usually result from hematoma expansion causing displacement and destruction of loco-regional structures leading to epistaxis, facial pain, nasal congestion, and headache [5] .…”

Section: Discussionmentioning

confidence: 99%

Sinonasal organized hematoma: Case report and review of the literature

Goyal,

Dubey,

Burdette

et al. 2023

Radiology Case Reports

View full text Add to dashboard Cite

Sinonasal organising haematoma – a little known entity

Abstract: Awareness of this relatively new clinical entity and its evaluation and treatment is important for otolaryngologists, maxillofacial surgeons and pathologists alike. Despite the clinical picture of malignancy, histopathological features of benign disease can safely dispel such a diagnosis.

Cited by 9 publications

References 14 publications

Diagnostic dilemma – sinonasal organizing hematoma

Diagnostic dilemma – sinonasal organizing hematoma

Clinicopathological features of 214 maxillary sinus pathologies. A ten-year single-centre retrospective clinical study

Sinonasal organized hematoma: Case report and review of the literature

Contact Info

Product

Resources

About