Inflammatory (“Allergic”)
Polyp
 
Epidemiology:
 
Common sites:
 
  - extending laterally
      into the anterior part of the middle meatus
 
 
 
Gross features:
 
  - bilateral
 
  - soft
 
  - grape-like on cut
      section
 
 
 
Histologic features:
 
  - loose mucoid stroma
 
  
   - lymphocytes,
       plasma cells, mast cells, neutrophils, eosinophils
 
  
  - mucous glands
 
  - respiratory
      epithelium
 
  
   - often foci of squamous metaplasia
 
  
  - prominent
      thickening of basal membrane commonly
 
 
 
Immunophenotype:
 
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   Marker: 
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   Sensitivity: 
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   Specificity: 
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Molecular features:
 
Other features:
 
  - local recurrence
      often
 
  - choanal
      polyp is an
      inflammatory polyp arising from one of the sinuses
 
  
   - may have prominent
       vascularity
 
  
  - associated with mucoviscidosis (cystic fibrosis)
 
  
   - 6-10% of mucoviscidosis patients have nasal polyps
 
  
  - may develop as a
      complication of mucopolysaccharoidosis (Hurler-Scheie syndrome)