Organised hematoma mimicking sino-nasal malignancy in patients post-radiotherapy - 21/08/21

Doi : 10.1016/j.anorl.2020.05.016

K.-W. Chiang ^a, C.-Y. Ho ^a,^b,⁎
^a Department of Otorhinolaryngology–Head and Neck Surgery, Taipei Veterans’ General Hospital, Taiwan and School of Medicine, National Yang-Ming University, Taipei, Taiwan
^b Department of Otorhinolaryngology, Cheng-Hsin General Hospital, Taipei, Taiwan

^⁎Corresponding author at: Department of Otolaryngology, Taipei Veterans’ General Hospital, and School of Medicine, National Yang-Ming University, No. 201, Sec. 2, Shih-Pai road, 11284 Taipei, Taiwan.Department of Otolaryngology, Taipei Veterans’ General Hospital, and School of Medicine, National Yang-Ming UniversityNo. 201, Sec. 2, Shih-Pai roadTaipei11284Taiwan

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Abstract

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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Keywords : Organised hematoma, Sinonasal malignancy, Radiotherapy, Nasopharyngeal carcinoma, Endoscopic surgery

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Vol 138 - N° 4

P. 275-277 - septembre 2021 Retour au numéro

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Organised hematoma mimicking sino-nasal malignancy in patients post-radiotherapy - 21/08/21

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