Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-26T22:08:51.207Z Has data issue: false hasContentIssue false
  • English
  • Français

The incidence of significant pathology in patients presenting with benign-appearing unilateral nasal polyps

Published online by Cambridge University Press:  06 May 2022

O Edafe Open the ORCID record for O Edafe [Opens in a new window] ,
G Weight ,
M Morsy  and
S Mirza
O Edafe*
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
G Weight
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
M Morsy
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
S Mirza
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
*
Author for correspondence: Mr O Edafe, Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

The presentation of unilateral nasal polyps traditionally necessitates histological evaluation for a neoplasm. This study sought to determine the rates of significant pathology in patients presenting with benign-appearing unilateral nasal polyps, to inform practice.

Method

All patients who underwent nasal polypectomy for benign-appearing unilateral nasal polyps over a 13-year period were included.

Results

A total of 77 patients were included. On histology, 60 cases (77.9 per cent) were found to be inflammatory polyps. Thirteen cases were neoplastic, of which 11 (14.3 per cent) were benign and 2 (2.6 per cent) were malignant neoplasms. The following significant pathologies were found: Schneiderian papillomas, in 10 cases (13.0 per cent); neurofibroma, in 1 case (1.3 per cent); adenoid cystic carcinoma, in 1 case (1.3 per cent); and malignant melanoma, in 1 case (1.3 per cent).

Conclusion

Our data support routine histological assessment for all unilateral nasal polyps. Malignancy is rare (2.6 per cent) in patients presenting with benign-appearing unilateral nasal polyps. In elderly, unfit patients with minimal symptoms, initial conservative management may be reasonable.

Keywords

Nasal PolypsNose Neoplasms
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 10 , October 2022 , pp. 998 - 1001
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr O Edafe takes responsibility for the integrity of the content of the paper

References

Newton, JR, Ah-See, KW. A review of nasal polyposis. Ther Clin Risk Manag 2008;4:507–12CrossRefGoogle ScholarPubMed
Ziade, G, Hamadan, AL, Homsi, MT, Kazan, I, Hadi, U. Spontaneous transethmoidal meningoceles in adults: case series with emphasis on surgical management. ScientificWorldJournal 2016;2016:3238297CrossRefGoogle ScholarPubMed
Belli, S, Yildirim, M, Eroglu, S, Emre, FK. Single-sided sinonasal mass: a retrospective study. North Clin Istanb 2018;5:139–43Google ScholarPubMed
Shuaibu, IY, Usman, MA, Ajiya, A. Unilateral sinonasal masses: review of clinical presentation and outcome in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Niger Med J 2020;61:16–21Google ScholarPubMed
Nair, S, James, E, Awasthi, S, Nambiar, S, Goyal, S. A review of the clinicopathological and radiological features of unilateral nasal mass. Indian J Otolaryngol Head Neck Surg 2013;65:199–204CrossRefGoogle ScholarPubMed
Asimakopoulos, P, Hathorn, I, Monaghan, H, Williams, AT. Incidence of neoplasia in patients with clinically suspicious nasal lesions and the value of computed tomography imaging in diagnosis. J Laryngol Otol 2015;129:254–60CrossRefGoogle ScholarPubMed
Lathi, A, Syed, M, Kalakoti, P, Qutub, D, Kishve, S. Clinico-pathological profile of sinonasal masses: a study from a tertiary care hospital of India. Acta Otorhinolaryngol Ital 2011;31:372–7Google ScholarPubMed
Diamantopoulos, II, Jones, NS, Lowe, J. All nasal polyps need histological examination: an audit-based appraisal of clinical practice. J Laryngol Otol 2000;114:755–9CrossRefGoogle ScholarPubMed
Paz Silva, M, Pinto, JM, Corey, JP, Mhoon, EE, Baroody, FM, Naclerio, RM. Diagnostic algorithm for unilateral sinus disease: a 15-year retrospective review. Int Forum Allergy Rhinol 2015;5:590–6CrossRefGoogle ScholarPubMed
Romashko, AA, Stankiewicz, JA. Routine histopathology in uncomplicated sinus surgery: is it necessary? Otolaryngol Head Neck Surg 2005;132:407–13CrossRefGoogle ScholarPubMed
Tritt, S, McMains, KC, Kountakis, SE. Unilateral nasal polyposis: clinical presentation and pathology. Am J Otolaryngol 2008;29:230–2CrossRefGoogle ScholarPubMed
Yaman, H, Alkan, N, Yilmaz, S, Koc, S, Belada, A. Is routine histopathological analysis of nasal polyposis specimens necessary? Eur Arch Otorhinolaryngol 2011;268:1013–15Google ScholarPubMed
Arslan, HH, Hidir, Y, Durmaz, A, Karslioglu, Y, Tosun, F, Gerek, M. Unexpected tumor incidence in surgically removed unilateral and bilateral nasal polyps. J Craniofac Surg 2011;22:751–4CrossRefGoogle ScholarPubMed
Wooles, NR, Bell, PR, Adair, R. A review of the management of 84 cases of nasal polyposis in a tertiary otorhinolaryngology centre: our experience. Clin Otolaryngol 2015;40:490–2CrossRefGoogle Scholar