Title:
A rare case of maxillary sinus angiolymphoid hyperplasia with eosinophilia
Authors:
M. Ghirelli , P. Farneti , P. Baccarini , E. Pasquini
Institutions:
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; Ear, Nose and Throat Unit, Department of Experimental, Diagnostic and Specialty Medicine -Dimes-, Bologna University Medical School, Sant’Orsola-Malpighi Hospital, Bologna, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, Section of Anatomic Pathology “M. Malpighi”, Department of Oncology, Bellaria Hospital, Bologna, Italy; Ear, Nose and Throat Metropolitan Unit, Surgical Department AUSL Bologna, Bellaria Hospital, Bologna, Italy.
Keywords:
Maxillary sinus, AHLE, endoscopic sinus surgery, angiolymphoid hyperplasia, sinonasal tumor
Pages:
223 - 227
Abstract:
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.
Issue:
Vol. 14, 2018, 3rd trimester


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A rare case of maxillary sinus angiolymphoid hyperplasia with eosinophilia