B-ENT

A rare case of maxillary sinus angiolymphoid hyperplasia with eosinophilia

1.

Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Italy. Observership Ear, Nose, and Throat Metropolitan Unit, Surgical Department AUSL Bologna, Bellaria Hospital, Bologna, Italy

2.

Ear, Nose and Throat Unit, Department of Experimental, Diagnostic and Specialty Medicine -Dimes-, Bologna University Medical School, Sant’Orsola-Malpighi Hospital, Bologna, Italy

3.

Department of Biomedical and Neuromotor Sciences, University of Bologna, Section of Anatomic Pathology “M. Malpighi”, Department of Oncology, Bellaria Hospital, Bologna, Italy

4.

Ear, Nose and Throat Metropolitan Unit, Surgical Department AUSL Bologna, Bellaria Hospital, Bologna, Italy

B-ENT 2018; 14: 223-227
Read: 455 Downloads: 342 Published: 28 January 2020

A rare case of maxillary sinus angiolymphoid hyperplasia with eosinophilia Objective: The differential diagnosis of an unilateral maxillary sinus mass is a common challenge for the ENT surgeon.

Methodology: We present a case of a 52-year-old Caucasian man presented at our ENT department for evaluation of a suspected left maxillary sinus neoplasm in the CT and MRI scans. The mass was surgically removed with an exclusive endoscopic endonasal approach; histological findings and clinical reports indicated angiolymphoid hyperplasia with eosinophilia (ALHE).

Results: Angiolymphoid hyperplasia with eosinophilia is an extremely rare disease of the paranasal sinuses and can simulate malignant disease.

Conclusions: The endoscopic oncologic approach allowed obtaining a biopsy and, subsequently, a frozen section, followed by resection of the lesion with minimal morbidity for the patient, thus avoiding an open approach. The patient does not have recurrences after two years.

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EISSN 2684-4907