Conclusion
In
conclusion, the low detection rate of fungi often leads to misdiagnosis
of AFRS and non-standard treatment. According to the above research, we
put forward the following two suggestions for clinical treatment: 1.
Improve the detection rate of fungi: including standardized submission
of pathological specimens, secretion fungal smears (more than 3 times)
and culture, strengthen communication with pathological departments, and
fully improve fungal specific examinations such as hexamine silver or
Periodic Acid-Schiff staining, microwave EnVision immunohistochemistry
and PCR. 2. When we encounter cases with clinical, radiology, allergic
mucin and fungal specific IgE elevation that meet the Bent- Kuhn
diagnostic criteria, but no fungal etiological evidence, we can consider
treating them according to the principles of AFRS after excluding
eosinophilic mucin sinusitis, so as to reduce the recurrence rate and
reduce the incidence of complications.