Diagnostic dilemma - sinonasal organizing hematoma.
| Autor: | James J; City University of New York School of Medicine, New York, USA., Shackelford AJ; Department of Dentistry, Columbia University Irving Medical Center, New York, USA., Gudis DA; Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, USA., Overdevest JB; Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | SAGE open medical case reports [SAGE Open Med Case Rep] 2020 Jul 30; Vol. 8, pp. 2050313X20945843. Date of Electronic Publication: 2020 Jul 30 (Print Publication: 2020). |
| DOI: | 10.1177/2050313X20945843 |
| Abstrakt: | Sinonasal organizing hematomas are benign lesions often mistaken for malignancy due to their aggressive appearance on diagnostic imaging and endoscopic findings that favor advanced disease. The destructive nature of this pathology paired with the rarity of the presentation often results in diagnostic deception that may escalate intervention planning and affect discussion of prognosis with patients. Herein, we present a case of a 56-year-old male with left-sided nasal obstruction and daily epistaxis, where computed tomography imaging revealed heterogeneous opacification of the left maxillary sinus, erosion of the left inferior orbital wall and extension into the nasal cavity. Although clinical and radiographic presentations of sinonasal organizing hematomas can be managed definitively with endoscopic intervention, there is a need to increase awareness of this entity among clinicians to improve our prognostic counseling with patients. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2020.) |
| Databáze: | MEDLINE |
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