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J Cancer Res Ther. 2019 Jul-Sep;15(3):733-736. doi: 10.4103/jcrt.JCRT_1236_16.

Rare case of an angiectatic sinonasal polyp feigning malignancy.

Author information

1
Department of ENT and Head and Neck Surgery, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.
2
Department of Pathology, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.

Abstract

Angiectatic sinonasal polyps are uncommon. However, riveting nature of this polyp lies in its clinical presentation mimicking a neoplasm. It is radiologically very challenging to pick up this lesion in spite of its characteristic findings on imaging. Histopathology is paramount for asserting diagnosis. We report a rare case of a patient who presented to our outpatient department with chief complaints of nasal block, nasal discharge, and epiphora for 6 months. On examination, a mass was found filling the left nasal cavity. Computed tomography scan and diagnostic nasal endoscopy were suggestive of fungal sinusitis or sinonasal malignancy as a differential diagnosis. Biopsy was reported as benign sinonasal polyp. The patient underwent endoscopic resection of the mass, which on histopathology revealed the diagnosis of an angiectatic sinonasal polyp.

KEYWORDS:

Angiectatic; malignancy; sinonasal polyp

PMID:
31169254
DOI:
10.4103/jcrt.JCRT_1236_16
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