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Variable Presentations of Sinonasal Polypoid Masses: A Tertiary Institution Experience
1Department of ENT and Head - Neck Surgery, Medical College and Hospital, Kolkata, West Bengal, India.
Kathmandu University Medical Journal (KUMJ)
|January 17, 2018
Summary
Polypoid sinonasal masses are usually benign but require careful diagnosis. Histopathology is crucial for accurate assessment, and follow-up is recommended due to potential recurrence.
Area of Science:
- Otolaryngology
- Pathology
Background:
- Sinonasal lesions often present as polypoid masses.
- Accurate diagnosis requires meticulous work-up.
Purpose of the Study:
- Analyze etiology, clinical presentations, demographics, and outcomes of polypoid sinonasal masses.
- Evaluate the clinico-histologic correlation for diagnosis.
Main Methods:
- Descriptive, longitudinal study of 198 patients with polypoid sinonasal masses.
- Utilized a pre-set proforma and diagnostic algorithm, including histopathology.
- Follow-up conducted for a minimum of one year.
Main Results:
- Common symptoms include nasal obstruction (89%), discharge (70%), and hyposmia (22%).
- Histopathology confirmed 91% benign lesions, primarily polyposis.
- Diagnosis relied on histopathology in 52.52% of cases; recurrence rates were ~26%.
Conclusions:
- Polypoid sinonasal masses are predominantly benign but present variably.
- Accurate diagnosis necessitates a strong clinico-histologic correlation.
- A low threshold for suspicion and regular follow-up are essential due to variability and recurrence potential.
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