Retrospective analysis of histopathological findings of benign sinonasal masses

Yıl 2018, Cilt: 1 Sayı: 4, 50 - 84, 30.12.2018

Ceyhun Aksakal

https://doi.org/10.32322/jhsm.463894

Öz

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.

Anahtar Kelimeler

Benign, nasal polyp, sinonasal mass

Benign sinonazal kitlelerin histopatolojik bulgularının retrospektif analizi

Öz

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. 

Anahtar Kelimeler

Benign, nazal polip, sinonazal kitle

Kaynakça

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