Organized Hematoma

Pang, Wenhui; Hu, Li; Wang, Huan; Sha, Yan; Ma, Ning; Wang, Shuyi; Liu, Quan; Sun, Xicai; Wang, Dehui

doi:10.1177/0194599815625956

Cited by 23 publications

(48 citation statements)

References 27 publications

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“…SOH has been associated with prior history of head and neck surgery, hypertension, coagulopathies, end stage renal disease and liver cirrhosis. 1 – 3 The history of alcoholic liver cirrhosis along with coagulopathies associated with cirrhosis may have contributed to the development of this lesion in our patient. A history of cigarette smoking and atopy have also been described in approximately 11% and 13% of those presenting with SOHs respectively.…”

Section: Discussionmentioning

confidence: 83%

“…Reports of SOHs have steadily increased in the literature since the 2000s, with most affecting the maxillary sinus while demonstrating a predilection for presentation in Asian males. 1 , 2 , 4 SOHs most commonly present with epistaxis and nasal obstruction, although patients may present with cheek pain and headaches. 1 , 2 This is the tenth case of SOH diagnosed in the United States and unique for an individual of Hispanic descent.…”

Section: Discussionmentioning

confidence: 99%

“… 1 , 2 , 4 SOHs most commonly present with epistaxis and nasal obstruction, although patients may present with cheek pain and headaches. 1 , 2 This is the tenth case of SOH diagnosed in the United States and unique for an individual of Hispanic descent. 4 , 5 Whether there exists an ethnic propensity toward those from East Asia or underreporting/misdiagnosis of cases in the literature by clinicians remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…A history of cigarette smoking and atopy have also been described in approximately 11% and 13% of those presenting with SOHs respectively. 2 …”

Section: Discussionmentioning

confidence: 99%

“…They remain, however, a relatively unknown entity that is often mistaken for malignancy due to their expansive local destruction. 1 – 4 While demographic, clinical, and radiographic findings are useful in the diagnosis of this paranasal sinus mass, immunohistochemical evidence is often necessary to establish a definitive diagnosis. 3 …”

Section: Introductionmentioning

confidence: 99%

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Diagnostic dilemma – sinonasal organizing hematoma

James

Shackelford

Gudis

et al. 2020

SAGE Open Medical Case Reports

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Sinonasal organizing hematomas are benign lesions often mistaken for malignancy due to their aggressive appearance on diagnostic imaging and endoscopic findings that favor advanced disease. The destructive nature of this pathology paired with the rarity of the presentation often results in diagnostic deception that may escalate intervention planning and affect discussion of prognosis with patients. Herein, we present a case of a 56-year-old male with left-sided nasal obstruction and daily epistaxis, where computed tomography imaging revealed heterogeneous opacification of the left maxillary sinus, erosion of the left inferior orbital wall and extension into the nasal cavity. Although clinical and radiographic presentations of sinonasal organizing hematomas can be managed definitively with endoscopic intervention, there is a need to increase awareness of this entity among clinicians to improve our prognostic counseling with patients.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…A history of cigarette smoking and atopy have also been described in approximately 11% and 13% of those presenting with SOHs respectively. 2 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diagnostic dilemma – sinonasal organizing hematoma

James

Shackelford

Gudis

et al. 2020

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

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Sinonasal Organizing Hematoma: Demographics, Diagnosis, and Treatment Outcomes of 112 patients

Park,

Choi,

Kim

et al. 2023

The Laryngoscope

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IntroductionSinonasal organizing hematoma (OH) is a rare, nonneoplastic lesion that often presents with epistaxis, a reddish mass, and destruction of the involved sinonasal structures. Due to its rarity, the demographics, diagnostic modalities, treatment strategies, and outcomes have not yet been studied in a large, long‐term study.Materials and MethodsRetrospect cohort of 112 sinonasal OH patients treated between 1997 and 2020 in a tertiary, university hospital were evaluated. Demographics, systemic comorbidities, sinonasal surgery history, serum laboratory tests, radiological findings, and treatment results were collected. The present study aimed to assess the accuracy of preoperative computed tomography (CT), Gadolinum‐enhanced magnetic resonance (MR), and punch biopsies in detecting sinonasal OH as the most likely diagnosis. In addition, incidental differences by age and year of diagnosis were calculated using the Poisson log‐linear regression model.ResultsThe median age was 44, and 58% were male. Fewer than 20% of these cases had a chronic systemic comorbidity, bleeding tendency, or sinonasal surgery history. MR had the highest accuracy of (87%) to detect sinonasal OH as the most likely diagnosis, compared with contrast‐enhanced‐CT (53%), punch biopsy (49%), and non‐enhanced‐CT (16%) (all <0.05). Sinonasal OH incidence did not vary by age, but the yearly rate significantly increased by 1.05 times over 23 years (p < 0.05). Notably, 84% of 112 patients received surgical removal through the assistance of an endoscope, and none had substantial bleeding without preoperative embolization.ConclusionSinonasal OH was observed regardless of age, sex, systemic comorbidities, bleeding tendency, prior sinonasal surgery, or trauma. Preoperative MR gives the highest accuracy for detecting this disease. Sinonasal OH may be safely managed with endoscopic‐assisted surgery removal without embolization.Level of Evidence4 Laryngoscope, 2023

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Sinonasal Tumor-Like Lesions

Franchi

2019

Pathology of Sinonasal Tumors and Tumor-Like Lesions

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Organized Hematoma

Abstract: OH can be successfully treated by endoscopic surgery. CT and MR examination provide characteristic findings for prediction and careful surgical planning.

Cited by 23 publications

References 27 publications

Diagnostic dilemma – sinonasal organizing hematoma

Diagnostic dilemma – sinonasal organizing hematoma

Sinonasal Organizing Hematoma: Demographics, Diagnosis, and Treatment Outcomes of 112 patients

Sinonasal Tumor-Like Lesions

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