Lambor Swati, Varughese Kevin Mathew, Naik Archan, Lambor Dheeraj V, Tiwari Markandeya, De Sa Carnegie J A
Department of Otorhinolaryngology, Goa Medical College, Bambolim, Goa India.
Department of Otorhinolaryngology, North Goa District Hospital, Mapusa, Bardez, Goa India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):1931-1940. doi: 10.1007/s12070-023-04446-1. Epub 2024 Jan 3.
Diagnosis of maxillary sinus pathologies is challenging. Herewith we describe the clinicopathological features in isolated maxillary sinus lesions in tertiary care hospital in Goa, India. The retrospective study included patients treated between 2017 and 2022, of all age groups and gender, who underwent either a biopsy or surgery, providing a histopathological diagnosis. Of the 117 pathologies, 88 (75.2%) were non-neoplastic. The overall frequency of pathologies were polyp in 40.2%, fungal lesions (18.8%), malignancy (13.7%), chronic rhinosinusitis (11.9%) and inverted papilloma (10.3%). There were 71 men (60.7%) and 46 women (39.3%). There were 10 patients (8.5%) below 20 years of age, of which 8 patients (80%) had non-neoplastic pathology. Common comorbidities were diabetes and hypertension, while symptoms were nasal blockage (75.2%), nasal discharge (47%) and ocular redness (16.2%). Each pathology was evaluated for demography, side of lesion, comorbidity, and symptoms. Most isolated maxillary sinus pathologies were benign lesions. However, a strong clinical suspicion and histopathological confirmation is needed for all lesions in all age groups due to a risk of malignancy.
上颌窦病变的诊断具有挑战性。在此，我们描述了印度果阿一家三级护理医院中孤立性上颌窦病变的临床病理特征。这项回顾性研究纳入了2017年至2022年间接受活检或手术治疗的所有年龄组和性别的患者，并提供了组织病理学诊断。在117例病变中，88例（75.2%）为非肿瘤性病变。病变的总体发生率依次为息肉占40.2%、真菌性病变（18.8%）、恶性肿瘤（13.7%）、慢性鼻-鼻窦炎（11.9%）和内翻性乳头状瘤（10.3%）。男性71例（60.7%），女性46例（39.3%）。年龄在20岁以下的患者有10例（8.5%），其中8例（80%）有非肿瘤性病变。常见的合并症为糖尿病和高血压，症状包括鼻塞（75.2%）、流涕（47%）和眼红（16.2%）。对每种病变的人口统计学、病变侧别、合并症和症状进行了评估。大多数孤立性上颌窦病变为良性病变。然而，由于存在恶性肿瘤风险，所有年龄组的所有病变都需要进行强烈的临床怀疑和组织病理学确认。
