Batsakis J G
Head Neck Surg. 1980 May-Jun;2(5):410-9. doi: 10.1002/hed.2890020510.
Nasal polyps and epithelial papillomas of the sinonasal tract often manifest similar clinical signs and symptoms. The similarity ends, however, when one considers their disparate biologic behavior. Polyps are associated with atopy, infection, and some metabolic, systemic disorders, whereas papillomas are enigmatic in pathogenesis and do not have an association with possible precursor disorders. While recurrences of nasal polyps may be an annoyance for the patient, such recurrences lack the local aggressiveness of the papilloma. Malignancies are rare in nasal polyps, whereas the frequency of malignancies in papillomas is both statistically and biologically significant. In this report, selected aspects of nasal polyps are considered and serve to contrast with the clinicopathologic evaluation of epithelial papillomas.
鼻息肉和鼻窦道上皮乳头状瘤通常表现出相似的临床体征和症状。然而，当考虑到它们截然不同的生物学行为时，这种相似性就不复存在了。息肉与特应性、感染以及一些代谢性、全身性疾病有关，而乳头状瘤的发病机制尚不清楚，且与可能的前驱疾病无关。虽然鼻息肉的复发可能会给患者带来困扰，但这种复发缺乏乳头状瘤那样的局部侵袭性。鼻息肉恶变罕见，而乳头状瘤恶变的发生率在统计学和生物学上都具有重要意义。在本报告中，我们考虑了鼻息肉的某些方面，并将其与上皮乳头状瘤的临床病理评估进行对比。
