Histopathologic Diagnosis Associated with Delayed Diagnosis of Inferior Turbinate Pathology

옥소혜; 고동언; 이승훈; 이상학; 이흥만; 박일호

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자료유형: 학술저널

저자정보: 옥소혜 고동언 이승훈 이상학 이흥만 박일호

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제2호

발행연도: 2015.1

수록면: 110 - 114 (5page)

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Background and Objectives Conditions of inferior turbinate other than hypertrophy are rare and its morphology of inferior turbinate is variable. Therefore, the diagnosis of this fatal disease is often delayed. In the present study, histopathologic characteristics of inferior turbinate lesions associated with delayed diagnosis are determined by reviewing the clinical and diagnostic outcomes in patients with inferior turbinate lesions. Materials and Method The medical records of patients who underwent endoscopic inferior turbinate biopsy following histopathologic evaluation from 2002 to 2013 were retrospectively reviewed, including the previous medical history, physical examination, radiologic findings, histopathologic results, therapy, and follow-up examination. Results A total 21 patients were included. The most common primary symptoms were nasal obstruction and frequent epistaxis. Diagnosed were 9 benign tumors, 7 malignant tumors, 2 infectious lesions, and 3 autoimmune lesions. Six of 21 patients visited more than three different hospitals before visiting our hospital. One-third of the cases with delayed diagnosis were malignant tumors, which included mucosal melanoma and natural killer/T cell lymphoma. Conclusion In patients with nasal obstruction unresponsive to multiple therapeutic attempts, inferior turbinate neoplasia should be suspected to avoid delaying diagnosis and proper treatment.

#Diagnosis #Histopathology #Inferior turbinate #Nasal obstruction

참고문헌 (13)

참고문헌 신청

Baraniuk JN / 2008 / Neural regulation of mucosal function / Pulm Pharmacol Ther 21 (3) : 442 ~ 448

Berger G / 2003 / The normal inferior turbinate:histomorphometric analysis and clinical implications / Laryngoscope 113 (7) : 1192 ~ 1198

Dahl R / 1998 / Anatomy, physiology and function of the nasal cavities in health and disease / Adv Drug Deliv Rev 29 (1-2) : 3 ~ 12

Daniero JJ / 2013 / Value-based analysis of routine pathologic septal and inferior turbinate specimens / Otolaryngol Head Neck Surg 148 (3) : 509 ~ 512

Erol B / 2013 / Pleomorphic adenoma originates from inferior nasal turbinate causing epiphora / Clin Imaging 37 (4) : 747 ~ 749

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