Sinonasal Polyps: A Diagnostic Challenge

Introduction Sinonasal polyps, presenting as mass lesion of nose and paranasal sinuses ranges pathologic entity including infective diseases to malignant lesions. 80% are non-neoplastic lesions and less than 1% are malignant. They all present with symptoms of nasal stuffiness or obstruction and m...

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Main Authors: Sucharita Sarkar, Rama Saha, Mou Das, Samares Sardar
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2019-12-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/16
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author Sucharita Sarkar
Rama Saha
Mou Das
Samares Sardar
author_facet Sucharita Sarkar
Rama Saha
Mou Das
Samares Sardar
author_sort Sucharita Sarkar
collection DOAJ
description Introduction Sinonasal polyps, presenting as mass lesion of nose and paranasal sinuses ranges pathologic entity including infective diseases to malignant lesions. 80% are non-neoplastic lesions and less than 1% are malignant. They all present with symptoms of nasal stuffiness or obstruction and mass lesion, producing significant diagnostic challenges as they possess extremely varied clinical behaviour, etiopathogenesis, treatment protocol as well as prognosis.   Case Series During period of one year (March 2017 to February 2018), we had six patients presenting with nasal polyp having special features that need attention. After proper investigation each case was operated and gross examination followed by histopathology was done. They   revealed six different diagnoses e.g., Olfactory neuroblastoma, Adenoid Cystic Carcinoma, Basal Cell Adenocarcinoma, Sinonasal Mucosal Melanoma, Primitive Neuroectodermal Tumour (PNET) and Aspergilloma. Discussion Clinicians’ attention is drawn to the fact that, similar presentation may have varied differential diagnoses, some of which may be very rare and histopathology is essential for coming to definitive diagnosis.
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spelling doaj.art-de7a5dd3894945a4ab8b41e857d3c6992024-03-02T13:51:21ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-12-0127310.47210/bjohns.2019.v27i3.16Sinonasal Polyps: A Diagnostic ChallengeSucharita Sarkar0Rama Saha1Mou Das2Samares Sardar3R.G Kar Medical College, Kolkata-04Institute of Post Graduate Medical Education & Research, Kolkata-20Institute of Post Graduate Medical Education & Research, Kolkata-20Institute of Post Graduate Medical Education & Research, Kolkata-20Introduction Sinonasal polyps, presenting as mass lesion of nose and paranasal sinuses ranges pathologic entity including infective diseases to malignant lesions. 80% are non-neoplastic lesions and less than 1% are malignant. They all present with symptoms of nasal stuffiness or obstruction and mass lesion, producing significant diagnostic challenges as they possess extremely varied clinical behaviour, etiopathogenesis, treatment protocol as well as prognosis.   Case Series During period of one year (March 2017 to February 2018), we had six patients presenting with nasal polyp having special features that need attention. After proper investigation each case was operated and gross examination followed by histopathology was done. They   revealed six different diagnoses e.g., Olfactory neuroblastoma, Adenoid Cystic Carcinoma, Basal Cell Adenocarcinoma, Sinonasal Mucosal Melanoma, Primitive Neuroectodermal Tumour (PNET) and Aspergilloma. Discussion Clinicians’ attention is drawn to the fact that, similar presentation may have varied differential diagnoses, some of which may be very rare and histopathology is essential for coming to definitive diagnosis.https://bjohns.in/journal3/index.php/bjohns/article/view/16HistopathologyEtiopathogenesisSinonasal polyp
spellingShingle Sucharita Sarkar
Rama Saha
Mou Das
Samares Sardar
Sinonasal Polyps: A Diagnostic Challenge
Bengal Journal of Otolaryngology and Head Neck Surgery
Histopathology
Etiopathogenesis
Sinonasal polyp
title Sinonasal Polyps: A Diagnostic Challenge
title_full Sinonasal Polyps: A Diagnostic Challenge
title_fullStr Sinonasal Polyps: A Diagnostic Challenge
title_full_unstemmed Sinonasal Polyps: A Diagnostic Challenge
title_short Sinonasal Polyps: A Diagnostic Challenge
title_sort sinonasal polyps a diagnostic challenge
topic Histopathology
Etiopathogenesis
Sinonasal polyp
url https://bjohns.in/journal3/index.php/bjohns/article/view/16
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AT ramasaha sinonasalpolypsadiagnosticchallenge
AT moudas sinonasalpolypsadiagnosticchallenge
AT samaressardar sinonasalpolypsadiagnosticchallenge