Achinto Abhishek*

Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, India

*Corresponding Author: Achinto Abhishek, Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, India.

Received: February 15, 2024; Published: March 19, 2024

Abstract

Background:Nasal polyps can result from a wide variety of pathological entities which ranges from antrochoanal (AC) polyps to sinonasal malignancies, which are very difficult to distinguish clinically from each other. All nasal polyps should be subjected to biopsy so as not to delay appropriate treatment.

Case Report: 25 year old female presented with right nasal obstruction with watery nasal discharge. Diagnostic nasal endoscopy revealed a polypoidal mass with secondary changes filling the right nasal cavity. CT PNS was suggestive of AC polyp. Intra-op, fleshy mass was seen with frank bleeding after intra-op biopsy was taken. Multiple fragmented tissues were removed and sent for HPE. HPE revealed lymphoproliferative state favoring Non-Hodgkin lymphoma. But IHC markers for the same were suggestive of rhabdomyosarcoma.

Conclusion: To prevent delay in appropriate treatment, all nasal masses should be subjected to Biopsy pre-operatively, given the clinical similarity between the differential diagnoses of nasal polyp.

Keywords: Nasal Polyps

References

1. Prior AJ., et al. “Nasal biopsy: Indications, techniques, and complications”. Respiratory Medicine 89 (1995): 161-169.
2. Segal N., et al. “The usefulness of preoperative biopsy in unilateral nasal masses”. Allergy Rhinology (Providence) (2014).

Citation

Citation: Achinto Abhishek. “Nasal Polyp: The Diagnostic Dilemma - Exploring the Need for Biopsy".Acta Scientific Otolaryngology 6.4 (2024): 22-24.

Copyright

Copyright: © 2024 Achinto Abhishek. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.