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Killian's polyp mimicking malignant tumor.

Jagdeep S Thakur1, Avinash Chaitanya1, R S Minhas1

  • 1Department of Otolaryngology-Head Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

Annals of Maxillofacial Surgery
|March 17, 2016
PubMed
Summary
This summary is machine-generated.

This case report highlights an unusual Killian polyp in an elderly patient, mimicking a malignant sinonasal tumor. It underscores the importance of thorough diagnosis for these rare pediatric-type growths in older adults.

Keywords:
Antrochoanal polypcancerendoscopymaxillapolyp

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Area of Science:

  • Otolaryngology
  • Pathology
  • Oncology

Background:

  • Killian polyps are typically pediatric sinonasal tumors.
  • Sinonasal tumors in the elderly often present as malignant until proven otherwise.
  • Epistaxis and pain are common presenting symptoms for sinonasal pathologies.

Observation:

  • An elderly patient presented with symptoms suggestive of a malignant sinonasal tumor.
  • Diagnostic evaluation revealed a Killian polyp, a rare occurrence in this age group.
  • The Killian polyp exhibited aggressive behavior, mimicking malignancy.

Findings:

  • This case demonstrates that Killian polyps can occur in elderly individuals.
  • The polyp's presentation and behavior mimicked that of a malignant sinonasal neoplasm.
  • Histopathological examination confirmed the diagnosis of Killian polyp.

Implications:

  • Clinicians must maintain a high index of suspicion for unusual pathologies in the elderly.
  • Paranasal sinus management requires careful diagnostic consideration, even for typically pediatric conditions.
  • This case emphasizes the need for thorough investigation of all sinonasal masses, regardless of presumed etiology.