The differential diagnosis of nasal polyps

Thursday, April 3, 2008 · Posted in

More bilateral polyp is found to have unilateral polypoid tumor, should be aware of the following diseases:
1. Income after maxillary sinus polyp is found mostly in young people holes. Before nose or nose-fiber endoscope examination showed smooth gray stems from the nose Beattie Road stretching back to the front after the nostril. After that nasal polyps in the mirror after the nostrils, can be large or even into the nasopharynx oropharynx.
2. Nasal septum bleeding polyp is found mostly in young people. Neoplasm occurred in septal, dark red, and less bulky single, easy to touch the bleeding, epistaxis patients often history. Embryo is generally believed that the process of hematopoietic cells caused by residual.
3. Inverted papilloma often epistaxis or blood T history. Tumor red or red and gray, smooth surface. Polyps are small, like, but when the bleeding polyp removed more. Also easy to check contravention of hemorrhage. The final diagnosis of pathological examination to be OK.
4. Nasal malignant tumor Anjiang, in contravention of easy bleeding, uneven surface, nose flavor of the smell obviously, in the middle-aged and older patients.
5. Nasal Meningoencephalocele mass located in the top of the nasal cavity, the surface was pink. Nasal not so obvious, and the long history of slow progress. More common in children.
6. Other rare tumors into the nasal cavity such as intracranial chordoma, neuroblastoma, such as pituitary tumor.
In addition, many elderly patients with nasal polyps surgery if history, it should be noted whether the possibility of malignant transformation, in particular to more bleeding.
Nasal polyps in patients with X-ray showed that the ethmoid sinus was more uniform cloud-like opacity. Maxillary sinus mucosa thickening and sometimes that small semicircular shadow, suggesting that there Douqiang mucosal polyps. X-ray film is the proliferation of the above characteristics of the performance of sinusitis, such as secondary infections, sinusitis showed signs of purulent

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