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A Case Report and Systematic Review of Eosinophilic Angiocentric Fibrosis of the Paranasal Sinuses.

Abstract There is a paucity of literature discussing prognostic factors or comparing outcomes in eosinophilic angiocentric fibrosis (EAF). This review aims to analyze tumor and patient characteristics as possible prognostic markers and compare surgical approaches.
PMID
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Sinonasal eosinophilic angiocentric fibrosis: a systematic review.

Authors

Mayor MeshTerms

Dissection

Natural Orifice Endoscopic Surgery

Paranasal Sinus Neoplasms

Paranasal Sinuses

Keywords

endoscopic sinus surgery

eosinophilic angiocentric fibrosis

eosinophilic inflammation of nose

nasal mass

surgical outcomes

Journal Title the annals of otology, rhinology, and laryngology
Publication Year Start




PMID- 28397561
OWN - NLM
STAT- MEDLINE
DA  - 20170411
DCOM- 20170418
LR  - 20170418
IS  - 1943-572X (Electronic)
IS  - 0003-4894 (Linking)
VI  - 126
IP  - 5
DP  - 2017 May
TI  - A Case Report and Systematic Review of Eosinophilic Angiocentric Fibrosis of the 
      Paranasal Sinuses.
PG  - 415-423
LID - 10.1177/0003489417696510 [doi]
AB  - OBJECTIVE: There is a paucity of literature discussing prognostic factors or
      comparing outcomes in eosinophilic angiocentric fibrosis (EAF). This review aims 
      to analyze tumor and patient characteristics as possible prognostic markers and
      compare surgical approaches. METHODS: Systematic literature review and case
      report analyzing available cases of EAF located within the paranasal sinuses.
      RESULTS: The literature search yielded 39 articles meeting criteria for a total
      of 59 cases (including 1 from our institution). Median patient age was 46 years. 
      The most common presenting symptoms were nasal obstruction (69%, n = 41) and
      change in external nasal appearance (39%, n = 32). The majority of cases (85%)
      were treated with surgical resection alone or in combination with medication. Of 
      surgical patients, 62% underwent a complete resection with a recurrence rate of
      20%. Median follow-up duration was 2 years. Endoscopic approach showed a
      significant positive correlation with complete resection ( P = .045). Patient sex
      ( P = .6), tumor location (range, P = .32-.98), lateral rhinotomy ( P = .26),
      septoplasty ( P = .84), and external rhinoplasty ( P = .28) were not
      significantly correlated with total resection. Insufficient sample size precluded
      calculation of predictors of recurrence following surgery. CONCLUSION: This
      review suggests that an endoscopic approach to EAF tumor is a viable option,
      frequently yielding complete resection.
FAU - Heft Neal, Molly E
AU  - Heft Neal ME
AD  - 1 University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
AD  - 2 University of Michigan Department of Otolaryngology, Ann Arbor, Michigan, USA.
FAU - Rowan, Nicholas R
AU  - Rowan NR
AD  - 3 University of Pittsburgh Department of Otolaryngology, Pittsburgh,
      Pennsylvania, USA.
FAU - Willson, Thomas J
AU  - Willson TJ
AD  - 3 University of Pittsburgh Department of Otolaryngology, Pittsburgh,
      Pennsylvania, USA.
FAU - Wang, Eric W
AU  - Wang EW
AD  - 3 University of Pittsburgh Department of Otolaryngology, Pittsburgh,
      Pennsylvania, USA.
FAU - Lee, Stella E
AU  - Lee SE
AD  - 3 University of Pittsburgh Department of Otolaryngology, Pittsburgh,
      Pennsylvania, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20170301
PL  - United States
TA  - Ann Otol Rhinol Laryngol
JT  - The Annals of otology, rhinology, and laryngology
JID - 0407300
SB  - AIM
SB  - IM
MH  - *Dissection/adverse effects/methods
MH  - Eosinophilia/*pathology
MH  - Female
MH  - Fibrosis
MH  - Humans
MH  - Middle Aged
MH  - Nasal Obstruction/physiopathology
MH  - *Natural Orifice Endoscopic Surgery/adverse effects/methods
MH  - Neoplasm Recurrence, Local/diagnosis
MH  - *Paranasal Sinus Neoplasms/pathology/physiopathology/surgery
MH  - *Paranasal Sinuses/diagnostic imaging/pathology/surgery
MH  - Postoperative Complications/diagnosis
MH  - Rhinoplasty/methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - *endoscopic sinus surgery
OT  - *eosinophilic angiocentric fibrosis
OT  - *eosinophilic inflammation of nose
OT  - *nasal mass
OT  - *surgical outcomes
EDAT- 2017/04/12 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/12 06:00
AID - 10.1177/0003489417696510 [doi]
PST - ppublish
SO  - Ann Otol Rhinol Laryngol. 2017 May;126(5):415-423. doi: 10.1177/0003489417696510.
      Epub 2017 Mar 1.

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