Can anyone help understanding this report please. It says no invasive malignancy but could it mean local cancer?
RIGHT NASAL SEPTAL LESION
' CLINICAL DETAILS
Right nasal septum papillomatous lesion.
MACROSCOPIC DESCRIPTION
Piece of soft tissue measuring 12x9x3mm.
Trisected.
HISTOLOGY
These are fragments of nasal mucosa with a squamo-proliferative lesion arranged in complex and broad papillary fronds lined by stratified squamous epithelium with fibro-vascular cores. There are scattered mucus cells and intraepithelial neutrophils. The lesion is predominantly exophytic with focal inverted growth having pushing borders and adjacent stroma shows lymphocytic inflammation. Basal mitosis seen. Examined at 4 levels.
•Overall features are in keeping with Combined Exo-endophytic Sino-nasal papilloma with focal inverted growth.
There is no convincing evidence of dysplasia or infiltrative growth, or invasive malignancy seen. Completion of excision is difficult to comment on this specimen. Clinical correlation is recommended.
Case discussed with Dr Karina and Dr Victor (Head and neck pathology
There is no convincing evidence of dysplasia or infiltrative growth, or invasive malignancy seen.
This means there no evidence of cancer to the pathologist interpreting the section
Sinonasal papillomas are generally benign.
BUT you must discuss this with your consultant. This is the danger of us lay people having access to our notes before access to our doctors to discuss them
Well explained Dani
Chris x
Its sometimes not easy but its worth it !
