Histopathological Spectrum of Polypoidal Lesions of Nasal & Paranasal Sinuses
Histopathological Spectrum of Polypoidal Lesions of Nasal & Paranasal Sinuses
DOI:
https://doi.org/10.70284/njirm.v8i5.1301Keywords:
Polypoidal lesions, Nasal and paranasal sinuses, HistopathologyAbstract
Introduction: Polypoidal lesions of nasal and paranasal sinuses are commonly seen in clinical practice and have a wide array of histopathological subtypes. Aim of this study was to observe the occurrence and distribution of these subtypes.Method: An observational study over 3 years (2014 – 2017) was carried out at a tertiary care centre. The details of all the histopathological specimens of polypoidal lesions from nasal & paranasal sinuses were processed and subtyped as per defined protocol. The observations were analysed, classified and compared with other studies using appropriate statistical tests.Results: Out of total 96 specimens, majority of the lesions (n=47, 48.96%) belonged to young age group (21 to 40 years). Non-neoplastic lesions comprised of 82 cases (85.41%) with inflammatory polyp being the most common subtype (n=66, 68.80%). Neoplastic lesions showed Inverted Papilloma (n= 4.16%), Angiofibroma (n= 3.12%) and Hemangioma (n= 3.12%) as commonest lesions. Malignant subtypes were seen in 2 cases.Conclusion: Non-neoplastic lesions were the most common variety ofnasal/paranasal polypoidal masses, with inflammatory polyp being the most common subtype. Histological analysis helps in prognosis and management of such polypoidal lesions.[Falguni SNJIRM 2017; 8(5):33-36]
References
2. S. Kuruba, N A H, D. Prabhu, D. Biligi, A N. Histomorphological Study of Polypoidal Lesions of the Nose and Paranasal sinuses. Internet J Pathol. 2010;11(Number 2).
3. Bijjaragi DS, Kulkarni DV, Singh DJ. Histomorphological Study of Polypoidal Lesions ofthe Nose and Paranasal sinuses. Indian J Basic Appl Med Res. 2015;June(4(3)):435–9.
4. Lingen MW. Head and Neck. In: Robbins and Cotran pathologic basis of disease. 9th ed. Elsevier/Saunders; 2015. p. 727–48.
5. Zafar U, Khan N, Afroz N, Hasan SA, others. Clinicopathological study of non-neoplastic lesions of nasal cavity and paranasal sinuses. Indian J PatholMicrobiol. 2008;51(1):26.
6. Dasgupta A, Ghosh RN, Mukherjee C. Nasal polyps—histopathologic spectrum. Indian J Otolaryngol Head Neck Surg. 1997;49(1):32–37.
7. Maru AM, Patel UV, Shrivastav A, Lakum NR, Choksi TS, Agnihotri AS, et al. Histopathological study of nasal masses in patients coming to a tertiary care hospital: A study of 70 cases. Med J Dr DY Patil Univ. 2015;8(4):468.
8. KalpanaKumari M K, K C M. Polypoidal lesions in the nasal cavity. J ClinDiagn Res. 2013 Jun;7(6):1040–2.
9. M. Kulkarni A, G. Mudholkar V, S. Acharya A, V. Ramteke R. Histopathological Study of Lesions of Nose and Paranasal Sinuses. Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):275–9.
10. Dafale SR, Yenni VV, Bannur HB, Malur PR, Hundgund BR, Patil SY. Histopathological study of polypoidal lesions of the nasal cavity-A cross sectional study. Al Ameen J Med Sci. 2012;5(4):403–406.
11. Diamantopoulos II, Jones NS, Lowe J. All nasal polyps need histological examination: an audit-based appraisal of clinical practice. J Laryngol Otol. 2000 Oct;114(10):755–9.
12. Shaila N. Shah, YatishGoswami. Study of lesions of nasal cavity, nasopharynx and paranasal sinuses by histopathological examination. Gujarat Med J. 2012;67(2):70–72.
13. Lupinetti AD, Roberts DB, Williams MD, Kupferman ME, Rosenthal DI, Demonte F, et al. Sinonasal adenoid cystic carcinoma: the M. D. Anderson Cancer Center experience. Cancer. 2007 Dec 15;110(12):2726–31.