Angiomatous nasal polyp: Clinical diagnostic dilemma
Angiomatous polyp (Angiectatic nasal polyps) is rare and its incidence is 4-5% of all nasal polyps. As it occurs with variable clinical features and there is no confirmatory preoperative investigation, clinical diagnosis can be a dilemma. Clinical picture of angiofibroma, simple antrochoanal polyp and inverted papilloma may resemble with each other. As polyps invade surrounding bone, these should be distinguished from a malignant mass. We present an interesting case of an infarcted angiectatic nasal polyp with extensive surrounding bony destruction. Correct preoperative radiological diagnosis is important to avoid unnecessary extensive surgery. Histopathological evaluation of polyps is mandatory since they require different treatment due to difference in the prognosis.
Yfantis HG, Drachenberg CB, Gray W, Papadimitriou JC. Angiectatic nasal polyps that clinically simulate a malignant process: report of 2 cases and review of the literature. Arch Pathol Lab Med 2000; 124:406-10.
Sheahan P, Crotty PL, Hamilton S, et al. Infarcted angiomatous nasal polyps. Eur Arch Otorhinolaryngol 2005; 262: 225-30.
Kim JY, Nam SY, Kwon SJ, Jun SY. Angiomatous nasal polyp with maxillary wall erosion. J Rhinol 2007; 14: 125-7.
Jayaram S, Svecova N, Biggs TC, Theaker J, Salib RJ. Angiectatic Nasal Polyp - The Great Imitator. The Internet Journal of Otorhinolaryngology 2013; 15.
Dai LB, Zhou SH, Ruan LX, Zheng ZJ. Correlation of computed tomography with pathological features in angiomatous nasal polyps. PLoS One 2012;7:e53306
Kim EY, Kim HJ, Chung SK, et al. Sinonasal organized hematoma: CT and MR imaging findings. AJNR Am J Neuroradiol 2008; 29:1204-8.
Tuziak T, Kram A, Woyke S. Edematous nasal polyp with atypical stromal cells misdiagnosed cytologically as rhabdomyosarcoma. A case report. Acta Cytol 1995; 39:521-4.
Fu YS, Perzin KH. Non-epithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx: A clinicopathologic study. I. General features and vascular tumors. Cancer 1974; 33:1275-88.
Wang YZ, Yang BT, Wang ZC, et al. MR evaluation of sinonasal angiomatous polyp. AJNR Am J Neuroradiol 2012; 33:767-72
Nota J, Hinohira Y, Takahashi H, et al. Angiectatic nasal polyp localized in maxillary sinus. Japanese Journal of Rhinology 2008; 47: 105-8.
De Vuysere S, Hermans R, Marchal G. Sinonasal polyp and its variant , the angiomatous polyp : MRI findings. Eur Radiol 2001; 1: 55-8.
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