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Single-sided sinonasal mass: A retrospective study.
Seyda Belli1, Metin Yildirim1, Sinan Eroglu1
1Department of Nose and Throat Diseases Clinic, Health Sciences University Bağcılar Education and Research Hospital Ear, Istanbul, Turkey.
Northern Clinics of Istanbul
|October 31, 2018
Summary
Unilateral sinonasal masses are usually benign, often inflammatory polyps. However, vigilance for malignancy is crucial, necessitating thorough examination and pathological assessment for accurate diagnosis.
Area of Science:
- Otorhinolaryngology
- Pathology
- Radiology
Background:
- Unilateral sinonasal masses are common in ENT practice.
- These masses can be misdiagnosed as early inflammatory conditions.
- Accurate diagnosis requires understanding specific criteria.
Purpose of the Study:
- To analyze diagnostic histopathological, clinical, and radiological criteria for unilateral sinonasal masses.
- To differentiate benign from malignant sinonasal pathologies.
- To improve diagnostic accuracy in ENT clinical practice.
Main Methods:
- Retrospective analysis of 195 patients with unilateral sinonasal masses.
- Data collected from an Istanbul-based ENT clinic (January 2008 - January 2016).
- Inclusion of clinical, pathological, and radiological data.
Main Results:
- 187 (95.9%) masses were benign; 8 (4.1%) were malignant.
- Inflammatory polyps were the most common benign finding (81.03%).
- Squamous cell carcinoma was the most frequent malignant lesion (1.54%).
Conclusions:
- Unilateral sinonasal masses are frequently encountered by otorhinolaryngologists.
- While often benign (inflammatory polyposis), malignancy risk exists.
- Emphasizes the need for careful endoscopic and pathological examination for all sinonasal masses.
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