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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: ovieedafe@hotmail.co.uk
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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

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Footnotes

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

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