Publicação
Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale.
| Resumo: | Abstract Objective: To evaluate the usefulness of an Index of Suspicion Scale (ISS) based on the endoscopic and imaging correlation of the findings commonly observed in patients with conclusive histopathological confirmation of sinonasal papilloma (SPs). Study Design: Retrospective and correlational study. Material and Methods: A cohort of 103 consecutive patients with confirmed histopathological diagnosis of SPs were analyzed during the period 2000-2019, in which the endoscopic and radiological features were evaluated through a bimodal CT/MRM protocol, with whose uncovering a correlative scale of findings was developed that can allow to deduce its diagnosis. Results: All patients with SPs had endonasal polypoidal masses, of which only 91% of the cases showed opacified tomographic images coinciding with the endoscopic finding. Focal hyperostosis was observed in 79% patients. Sinonasal bony wall erosion was observed in 84%. Contoured cerebriform pattern images were identified in 86% of T1-weighted and T2-weighted MRI studies. Correlation of endoscopic and imaging findings, based on sensitivity measures and positive predictive values, showed results of diagnostic probability and reliability with an overall average global mean of 90%. The SPs assessment criteria in the proposed SIS considered all above-mentioned findings. Through this correlative scale, 19% of patients were detected with early SPs (low suspicion), 31% were found to have moderately growing SPs (moderate suspicion) and 50% were identified with SPs of greater size (high suspicion). Conclusion: The proposed ISS was able to allow a satisfactory clinical diagnosis of SPs. The correlation of the clinical criteria considered proved that it can be a useful guide in the timely clinical assessment of these neoplasms. |
|---|---|
| Autores principais: | Fontes,Aderito De Sousa |
| Outros Autores: | Lafeé,Nelson Urdaneta |
| Assunto: | Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| _version_ | 1868442002636406784 |
|---|---|
| author | Fontes,Aderito De Sousa |
| author2 | Lafeé,Nelson Urdaneta |
| author2_role | author |
| author_facet | Fontes,Aderito De Sousa Lafeé,Nelson Urdaneta |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Fontes,Aderito De Sousa\"},{\"Person.name\":\"Lafeé,Nelson Urdaneta\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Fontes,Aderito De Sousa Lafeé,Nelson Urdaneta |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| datacite.titles.title.fl_str_mv | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| dc.creator.none.fl_str_mv | Fontes,Aderito De Sousa Lafeé,Nelson Urdaneta |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-64992024000100063 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço v.62 n.1 2024 |
| dc.subject.none.fl_str_mv | Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| dc.title.fl_str_mv | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Abstract Objective: To evaluate the usefulness of an Index of Suspicion Scale (ISS) based on the endoscopic and imaging correlation of the findings commonly observed in patients with conclusive histopathological confirmation of sinonasal papilloma (SPs). Study Design: Retrospective and correlational study. Material and Methods: A cohort of 103 consecutive patients with confirmed histopathological diagnosis of SPs were analyzed during the period 2000-2019, in which the endoscopic and radiological features were evaluated through a bimodal CT/MRM protocol, with whose uncovering a correlative scale of findings was developed that can allow to deduce its diagnosis. Results: All patients with SPs had endonasal polypoidal masses, of which only 91% of the cases showed opacified tomographic images coinciding with the endoscopic finding. Focal hyperostosis was observed in 79% patients. Sinonasal bony wall erosion was observed in 84%. Contoured cerebriform pattern images were identified in 86% of T1-weighted and T2-weighted MRI studies. Correlation of endoscopic and imaging findings, based on sensitivity measures and positive predictive values, showed results of diagnostic probability and reliability with an overall average global mean of 90%. The SPs assessment criteria in the proposed SIS considered all above-mentioned findings. Through this correlative scale, 19% of patients were detected with early SPs (low suspicion), 31% were found to have moderately growing SPs (moderate suspicion) and 50% were identified with SPs of greater size (high suspicion). Conclusion: The proposed ISS was able to allow a satisfactory clinical diagnosis of SPs. The correlation of the clinical criteria considered proved that it can be a useful guide in the timely clinical assessment of these neoplasms. |
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| eu_rights_str_mv | openAccess |
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| identifier.url.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-64992024000100063 |
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| institution | Fundação para a Ciência e Tecnologia |
| instname_str | Fundação para a Ciência e Tecnologia |
| language | eng |
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| network_name_str | SciELO Portugal |
| oai_identifier_str | oai:scielo:S2184-64992024000100063 |
| organization_str_mv | urn:organizationAcronym:scielo |
| person_str_mv | Fontes,Aderito De Sousa Lafeé,Nelson Urdaneta |
| publishDate | 2024 |
| publisher.none.fl_str_mv | Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| reponame_str | SciELO Portugal |
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| spelling | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale.Fontes,Aderito De SousaLafeé,Nelson UrdanetaSinonasal papillomasFungiform papillomaInverted papillomaOncocytic papillomaSuspicion indexopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-64992024000100063URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-64992024000100063URLHasVersion2024-03-01Abstract Objective: To evaluate the usefulness of an Index of Suspicion Scale (ISS) based on the endoscopic and imaging correlation of the findings commonly observed in patients with conclusive histopathological confirmation of sinonasal papilloma (SPs). Study Design: Retrospective and correlational study. Material and Methods: A cohort of 103 consecutive patients with confirmed histopathological diagnosis of SPs were analyzed during the period 2000-2019, in which the endoscopic and radiological features were evaluated through a bimodal CT/MRM protocol, with whose uncovering a correlative scale of findings was developed that can allow to deduce its diagnosis. Results: All patients with SPs had endonasal polypoidal masses, of which only 91% of the cases showed opacified tomographic images coinciding with the endoscopic finding. Focal hyperostosis was observed in 79% patients. Sinonasal bony wall erosion was observed in 84%. Contoured cerebriform pattern images were identified in 86% of T1-weighted and T2-weighted MRI studies. Correlation of endoscopic and imaging findings, based on sensitivity measures and positive predictive values, showed results of diagnostic probability and reliability with an overall average global mean of 90%. The SPs assessment criteria in the proposed SIS considered all above-mentioned findings. Through this correlative scale, 19% of patients were detected with early SPs (low suspicion), 31% were found to have moderately growing SPs (moderate suspicion) and 50% were identified with SPs of greater size (high suspicion). Conclusion: The proposed ISS was able to allow a satisfactory clinical diagnosis of SPs. The correlation of the clinical criteria considered proved that it can be a useful guide in the timely clinical assessment of these neoplasms.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e PescoçoRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço v.62 n.1 2024text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature |
| spellingShingle | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. Fontes,Aderito De Sousa Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| status | SINGLETON |
| subject.fl_str_mv | Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| title | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| title_full | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| title_fullStr | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| title_full_unstemmed | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| title_short | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| title_sort | Clinical assessment of sinonasal papillomas through a correlative Suspicion Index Scale. |
| topic | Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| topic_facet | Sinonasal papillomas Fungiform papilloma Inverted papilloma Oncocytic papilloma Suspicion index |
| url | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-64992024000100063 |
| visible | 1 |