Retrospective analysis of histopathological findings of benign sinonasal masses

Abstract

Introduction: Nasal polyps are the most common types of benign sinonasal masses. In addition, some histopathological diagnoses like rare sinonasal papilloma, hemangioma and Respiratory Epithelial Adenomatous Hamartoma (REAH) are also observed. The purpose of the present study is to examine the distribution of the masses seen in sinonasal area in terms of histopathological types, and to determine the distribution according to age and gender.

Material and Method: A total of 203 patients, who were operated due to benign nasal mass between January 2008 and January 2018 in Tokat State Hospital and whose histopathological diagnoses were obtained, were included in the study. The patients were divided in terms of their histopathological types. These histopathological types were analyzed according to the gender and age range.

Results: A total of 128 of the patients were male and 75 were female. The mean age was found as 42.23 (Males: 41.96±18.9, Females: 42.68±19.1). The most common sinonasal mass was nasal polyp (89.1%), and the other histopathological diagnoses were sinonasal papilloma (4%), REAH (2.4%), lobular capillary hemangioma (LKH) (2.9%) and fungal rhinosinusitis (0.9%).

Conclusion: The histopathological findings of benign sinonasal masses vary according to age and gender. Antrochoanal polyps are seen mostly at younger ages, nasal polyps, which are associated with chronic sinusitis, are seen in middle age, and inverted papilloma and REAH are detected in advanced age ranges.

Keywords

• Benign,nasal polyp,sinonasal mass

Benign sinonazal kitlelerin histopatolojik bulgularının retrospektif analizi

Abstract

Amaç: Benign sinonazal kitleler içinde en sık görülen tür nazal poliptir. Bunun yanında nadiren sinonazal papillom, hemanjiyom, respiratuvar epitelyal adenomatöz hamartom (REAH) gibi histopatolojik tanılara rastlanmaktadır. Bu çalışmanın amacı sinonazal bölgede görülen kitleleri histopatolojik tiplerine göre ayırarak cinsiyete ve yaş aralığına göre dağılımını araştırmaktır.

Gereç ve Yöntem: Tokat Devlet Hastanesi’nde Ocak 2008 ile Ocak 2018 arasında benign nazal kitle ile opere edilmiş ve histopatolojik tanılarına ulaşılmış 203 hasta çalışmaya dahil edilmiştir. Hastaların histopatolojik tipleri türlerine göre ayrılmıştır. Histopatolojik tipler cinsiyet ve yaş aralıklarına göre ayrılarak analiz edilmiştir.

Bulgular: Hastaların 128’i erkek, 75’i kadınlardan oluşmaktadır. Ortalama yaş 42,23 (Erkek: 41,96±18,9, Kadın: 42,68±19,1) olarak bulunmuştur.  En sık sinonazal kitle olarak nazal polip (%89,1) bulunurken elde edilen diğer histopatolojik tanılar sinonazal papillom (%4), REAH (%2,4), lobüler kapiller hemanjiyom (LKH) (%2,9) ve fungal rinosinüzit (%0,9) olmuştur.

Sonuç: Benign sinonazal kitlelerin histopatolojik bulguları yaş ve cinsiyete göre farklılık göstermektedir.  Antrokoanal polip daha çok genç yaşta görülürken, daha çok kronik sinüzitle ilişkili olan nazal polip orta yaşlarda, inverted papillom ve REAH ise ileri yaş aralıklarında tespit edilmiştir. 

Keywords

• Benign,nazal polip,sinonazal kitle

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