Publication: Variable Presentations of Sinonasal Polypoid Masses: A Tertiary Institution Experience
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | Dutta, M | |
| dc.contributor.author | Ghatak, S | |
| dc.contributor.author | Sen, I | |
| dc.contributor.author | Sinha, R | |
| dc.date.accessioned | 2025-10-16T07:43:01Z | |
| dc.date.available | 2025-10-16T07:43:01Z | |
| dc.date.issued | 2016 | |
| dc.description | Dutta M,1 Ghatak S,2 Sen I,3 Sinha R1 1Department of ENT and Head - Neck Surgery Medical College and Hospital Kolkata, West Bengal, India. 2Department of ENT and Head-Neck Surgery College of Medicine and Sagore Dutta Hospital Kolkata, West Bengal, India. 3Department of ENT and Head-Neck Surgery Midnapore Medical College and Hospital Midnapore, West Bengal, India | |
| dc.description.abstract | ABSTRACT Background Lesions of the sinonasal area are varied, but they mostly present as polypoid masses which require meticulous work-up to reach at the most probable diagnosis. Objective Analysis of polypoid sinonasal masses in terms of etiology, clinical presentations, brief demographic profile, clinico-histologic correlate where possible, and follow-up results. Method In this descriptive, longitudinal study, 198 patients with polypoid sinonasal masses attending the otolaryngology clinic of a tertiary teaching institute were selected using proper selection criteria and analyzed through a pre-set proforma and algorithm for a diagnostic work-up (that included histopathology where necessary). Result Common presentations were nasal obstruction (~89%), discharge (~70%) and hyposmia (~22%). Though nearly 87% was clinically benign and 8% indeterminate, therapeutic and diagnostic interventions (including histopathology) showed 91% truly benign, of which polyposis formed the bulk. Sensitivity of clinical detection was 75% for benign lesions and 62% for malignancies. Diagnosis depended on histopathology in 52.52% cases, including the clinically malignant, the “grey zone”, and more than 40% of the clinically benign lesions. There was male predilection (2.16 for benign lesions and 1.57 for malignant), rural preponderance, and above 60% of the patients were within 50-70 years. There was ~26% recurrence in the follow-up period of a minimum of one year, predominantly in polyposis (29.55%) and malignancies (~39%). Conclusion Presentations of polypoid sinonasal masses are variable, etiology of which is mostly benign. Proper clinico-histologic correlate is necessary for correct diagnosis. A low threshold of suspicion is required because of this variability, necessitating follow-up for further evaluation. KEY WORDS Histopathology, nasal obstruction, polypoid mass, presentation, sinonasal | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/2749 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu University | |
| dc.subject | Histopathology | |
| dc.subject | nasal obstruction | |
| dc.subject | polypoid mass | |
| dc.subject | presentation | |
| dc.subject | sinonasal | |
| dc.title | Variable Presentations of Sinonasal Polypoid Masses: A Tertiary Institution Experience | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 327 | |
| oaire.citation.startPage | 322 | |
| relation.isJournalIssueOfPublication | e24768f2-58f2-4de3-8875-ceb947515c5f | |
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