Organised hematoma mimicking sino-nasal malignancy in patients post-radiotherapy.
作者信息
Chiang K-W, Ho C-Y
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Taipei Veterans' General Hospital, Taiwan and School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Department of Otorhinolaryngology-Head and Neck Surgery, Taipei Veterans' General Hospital, Taiwan and School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Otorhinolaryngology, Cheng-Hsin General Hospital, Taipei, Taiwan.
出版信息
Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Sep;138(4):275-277. doi: 10.1016/j.anorl.2020.05.016. Epub 2020 Nov 9.
INTRODUCTION
Organised hematoma (OH) in the para-nasal sinus and nasal cavity is a rare, non-neoplastic, benign disease which can be locally aggressive. In clinical practice, OH is easily misdiagnosed as malignancy and over-treated.
CASE SUMMARY
These patients with OH had a common history of malignant neoplasms post-radiotherapy, including two cases of nasopharyngeal carcinoma and one case of tonsil cancer with jaw osteosarcoma. All of the patients presented with symptoms of epistaxis and blood-tinged rhinorrhea. All of the patients received endoscopic endonasal surgery under navigation.
DISCUSSION
All of the patients had a good recovery after surgery. There's no recurrence after follow-up at 6 months. We therefore hypothesised that radiotherapy could be a cause of the OH. Although OH is uncommon and difficult to diagnose, a history of malignancy and imaging features with appropriate treatment are key.
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