Nasal Polyps

A 38-year-old man presents with bilateral nasal obstruction and rhinorrhea for 6 months. Nasal endoscopy reveals multiple smooth, pale, gelatinous masses arising from the lateral nasal wall bilaterally. What is the most common histopathological type of nasal polyp in this patient?

A 42-year-old woman with a 10-year history of allergic rhinitis and asthma presents with progressive nasal obstruction. Nasal endoscopy reveals multiple polyps. Which is the most common site of origin of nasal polyps in this patient?

A 42-year-old woman with a 10-year history of asthma and chronic rhinosinusitis presents with recurrent bilateral nasal polyps. She underwent FESS with polyp removal 2 years ago but has had two recurrences since. Endoscopy now shows bilateral polyps with eosinophilic inflammation on biopsy. She is already on high-dose intranasal fluticasone (200 µg BD) and oral montelukast. What is the most appropriate next step in management?

A 52-year-old woman from Delhi presents with unilateral left nasal obstruction and epistaxis of 2 months' duration. On nasal endoscopy, a single, unilateral, friable, bleeding mass is seen arising from the lateral nasal wall near the maxillary antrum. CT paranasal sinuses shows a heterogeneous mass with bone erosion of the maxilla and lateral nasal wall. Histopathology reveals intact respiratory epithelium overlying a layer of intact epithelium with underlying intact mucosa—an inverted growth pattern. What is the most appropriate next step in management?

Which clinical feature best distinguishes antrochoanal polyp from allergic fungal sinusitis presenting with unilateral nasal mass?