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Benign Nasosinus Tumors: Epidemiological, Clinical, Morphological, Therapeutic, and Evolutionary Aspects at the Adolphe SICE General Hospital in Pointe-Noire (Congo-Brazzaville)

Benign Nasosinus Tumors: Epidemiological, Clinical, Morphological, Therapeutic, and Evolutionary Aspects at the Adolphe SICE General Hospital in Pointe-Noire (Congo-Brazzaville)

作     者:Sylvain Diembi Sydney Frousse Christian Ngatali Harol Boris Otouana Gérard Chidrel Gouoni Franck Itiere Odzili Donatien Moukassa Gontran Ondzotto Sylvain Diembi;Sydney Frousse Christian Ngatali;Harol Boris Otouana;Gérard Chidrel Gouoni;Franck Itiere Odzili;Donatien Moukassa;Gontran Ondzotto

作者机构:ENT Department Adolphe SICE General Hospital Pointe-Noire Congo Oncology Department Loandjili General Hospital Pointe-Noire Congo ENT Department Brazzaville Hospital and University Center Brazzaville Congo Master’s Department Health & Human Biology FSSA UMNG Brazzaville Congo 

出 版 物:《Open Journal of Pathology》 (病理学期刊(英文))

年 卷 期:2024年第14卷第1期

页      面:1-10页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Nasosinus Polyp Pleomorphic Adenoma Inverted Papilloma Epidemiology Clinical Features Therapeutic Management 

摘      要:Introduction: Benign nasosinus tumors (BNST) of epithelial origin are relatively rare and arise from the various lining tissues of the nasal and sinus cavities, and from glands developed from these epithelial invaginations. These include nasosinusal polyps, pleiomorphic adenoma and inverted papilloma. The aim of our study was to investigate the epidemiological, clinical, morphological, therapeutic, and evolutionary particularities of these three clinical entities, including two tumors with the potential for progressive malignancy (pleiomorphic adenoma and inverted papilloma) and one strictly benign tumor with a favorable evolution (nasosinus polyp or Schneider polyp). Materials and Methods: This was a retrospective, analytical, cross-sectional study conducted from January 1, 2006 to December 31, 2019 (13 years), in the Department of Otolaryngology and Cervicofacial Surgery at Adolphe SICE Hospital, Pointe-Noire, Congo-Brazzaville. Results: During the study period, 74 patients were registered for a nasosinus tumor, of which 23 were benign tumors of epithelial origin (31%) distributed as follows: 15 cases of nasosinus polyp, 5 cases of pleomorphic adenoma and 3 cases of inverted papilloma. The mean age was 42.5 for polyps, with an estimated median of 38, and 42.9 for the other two entities (pleomorphic adenoma and inverted papilloma), with an estimated median of 41. Nasosinus allergy accounted for 17% of cases, followed by chronic sinusitis (12%);however, in 49% of cases, the patient’s history was not specified. There was no sexual predominance, the sex ratio being 1.08. Occupation, socio-economic level, and education had no impact on the development of these tumors. Most of our patients (52%, 12 cases) had a consultation delay of more than one (1) year, whatever the histological nature of the tumor. The complete nasosinus syndrome (NSS) included nasal obstruction, rhinorrhea, epistaxis, and anosmia, and was found in 19 cases (83%), most often reflecting a nasosinus p

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