Correlación de aspectos clínicos e histopatológicos en la poliposis nasal
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La poliposis nasal se trata de una enfermedad inflamatoria crónica de la mucosa nasal y de los senos paranasales la cual tiene lugar en una degeneración edematosa de la mucosa de las masas laterales del etmoides. La historia clínica es primordial ya que los síntomas que nos refiere el paciente nos encaminan a encasillar el problema, la gravedad de la enfermedad y la calidad de vida del paciente. El cuadro clínico del paciente varia en 2 tipos de síntomas. Para el tratamiento quirúrgico se realiza mediante cirugía endoscópica nasosinusal CENS Tiene como indicación cualquier persona con una obstrucción grave o que no ha tenido la respuesta esperada al tratamiento o que manejan rinosinusitis a recurrencia debido a que el pólipo obstruye el drenaje, Posterior a cada CENS se realiza un estudio histopatológico de la muestra obtenida en este centro de salud, sin embargo los reportes de sus resultados y el análisis de su utilidad en esta práctica son escasos en la literatura científica ya que se trata de una patología altamente benigna y en general más se la utiliza para evitar pasar por alto algún diagnostico oculto de una histología maligna o también por motivos medico legales, aunque en pacientes con pólipos unilaterales o con lesiones de alto grado de sospecha de pre malignidad El objetivo de este trabajo ha sido describir la histopatología de las muestras captadas posterior a la realización de la CENS en el HTMC y correlacionarlo con el diagnóstico clínico pre operatorio
Nasal polyposis is a chronic inflammatory disease of the nasal mucosa and paranasal sinuses which occurs in an edematous degeneration of the mucosa of the lateral masses of the ethmoid. The clinical history is paramount since the symptoms referred to by the patient lead us to classify the problem, the severity of the disease and the quality of life of the patient. The clinical picture of the patient varies in 2 types of symptoms. For surgical treatment, it is performed by nasosinusal nasal endoscopic surgery. It has as an indication any person with a severe obstruction, who has not had the expected response to treatment, or who manages rhinosinusitis due to recurrence because the polyp obstructs the drainage. performs a histopathological study of the sample obtained in this health center, however the reports of its results and the analysis of its usefulness in this practice are scarce in the scientific literature since it is a highly benign pathology and in general it is more it is used to avoid overlooking any hidden diagnosis of a malignant histology or also for medical reasons, although in patients with unilateral polyps or with lesions of high degree of suspicion of pre malignancy. The objective of this work has been to describe the histopathology of the samples taken after the completion of the CENS in the HTMC and correlates with the preoperative clinical diagnosis
Nasal polyposis is a chronic inflammatory disease of the nasal mucosa and paranasal sinuses which occurs in an edematous degeneration of the mucosa of the lateral masses of the ethmoid. The clinical history is paramount since the symptoms referred to by the patient lead us to classify the problem, the severity of the disease and the quality of life of the patient. The clinical picture of the patient varies in 2 types of symptoms. For surgical treatment, it is performed by nasosinusal nasal endoscopic surgery. It has as an indication any person with a severe obstruction, who has not had the expected response to treatment, or who manages rhinosinusitis due to recurrence because the polyp obstructs the drainage. performs a histopathological study of the sample obtained in this health center, however the reports of its results and the analysis of its usefulness in this practice are scarce in the scientific literature since it is a highly benign pathology and in general it is more it is used to avoid overlooking any hidden diagnosis of a malignant histology or also for medical reasons, although in patients with unilateral polyps or with lesions of high degree of suspicion of pre malignancy. The objective of this work has been to describe the histopathology of the samples taken after the completion of the CENS in the HTMC and correlates with the preoperative clinical diagnosis
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Popiposis nasal, Diagnóstico clínico, Histopatología, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador