DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20170946

A clinicopathological study of masses of nasal cavity paranasal sinuses and nasopharynx

Rajat Sharma, Dimple Sahni, Kuljeet Uppal, Rajeev Gupta, Gifty Singla

Abstract


Background: A variety of inflammatory, non neoplastic and neoplastic masses involving nasal cavity, paranasal sinuses and nasopharynx are commonly encountered in ENT clinics. The objective was to study the demographic profile, clinical presentation, radiological findings and its correlation with the histopathological findings of masses of nasal cavity, paranasal sinuses and nasopharynx.

Methods: The study was conducted on patients having sinonasal and nasopharyngeal masses admitted in dept of ENT, GMC, Patiala from August 2014 to July 2016. The study was designed to evaluate demographic distribution, clinicopathological features, radiological findings of sinonasal and nasopharyngeal masses and to evaluate the correlation of clinical and radiological findings with histopathological diagnosis.  

Results: Analysis of 50 cases of masses in nasal cavity, paranasal sinuses and nasopharynx was done. Male to female ratio was 1.38:1. The commonest site was nasal cavity followed by paranasal sinuses. Nasal polyp was the most common non-neoplastic lesion. Among the neoplastic lesions studied, inverted papilloma was the most common benign lesion and squamous cell carcinoma was the most common malignant lesion observed.

Conclusions: For proper evaluation of sinonasal and nasopharyngeal masses, clinical, radiological and histopathological evaluation should be done in all patients. Although radiology provides a road map to endoscopic surgeons for any existing or impending complications but histopathology always gives a confirmatory diagnosis.


Keywords


Sinonassal masses, Nasopharynx, Polyp, Nasal obstruction, FESS, Inverted papilloma

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References


Bateman N, Fahy C, Woolford T. Nasal polyps: still more questions than answers. J Laryngol. 2003;117:1–9.

Watkinson JC, Gaze M, Wilson JA, et al. Stell and Maran’s head and neck surgery. 4. Oxford: Butterworth-Heinemann; 2000.

Settipane G. Nasal polyps: epidemiolgy, pathology, immunology and treatment. Am J Rhinol. 1987;1:119–26.

Somani S, Kamble P, Khadkear S. Mischievous presentation of nasal masses in rural areas. Asian J Ear Nose Throat. 2004;2;9-17.

Zafar U, Khan N, Afroz N, Hasan SA. Clinicopathological study of non-neoplastic lesions of nasal cavity and parasinuses. Indian J Pathol Microbiol. 2008;51(1):26-9.

Bakari A, Afolabi OA, Adoga AA, Kodiya AM, Ahmad BM. Clinico-pathological profile of sinonasal masses: an experience in national ear care center Kaduna, Nigeria. BMC Research Notes. 2010;3:186.

Zafar U, Khan N, Afroz N, Hasan SA. Clinicopathological study of non neoplastic leions of nasal cavity and paranasal sinuses. Indian J Pathol Microbiol. 2008;51(1);26-9.

Segal N, Gluck O, Bavnik Y, Plakht Y, Yakirevitch A. The usefulness of preoperative biopsy in unilateral nasal masses. Allergy Rhinol (Providence). 2014;5(2):53-5.

Chavan Srinivas S, Deshmukh Sunil, Pawar Vasant, Sarvade Kaustabh. Case study of clinicopathological correlation of benign sinonasal masses. World Articles Ear Nose Throat. 2012; 5(1).

Bist SS, Varshney S, Baunthiyal V, Bhagat S, Kusum A. Clinico-pathological profile of sinonasal masses: An experience in tertiary care hospital of Uttarakhand. Natl J Maxillofac Surg. 2012;3(2):180-6.

Lathi A, Syed MM, Kalakoti P, Qutub D, Kishve SP. Clinico-pathological profile of sinonasal masses: a study from a tertiary care hospital of India. Acta Otorhinolaryngol Ital. 2011;31(6):372-7.

Gupta R, Moupachi SS, Poorey VK. Sinonasal masses: a retrospective analysis. Indian J Otolaryngol Head Neck Surg. 2013;65(1): 52-6.

Rawat DS, Chadha V, Grover M, Ojha T, Verma PC. Clinicopathological Profile and Management of Sinonasal Masses; A Prospective study. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 2):388-93.

Khan N, Zafar U, Afroz N, Ahmad SS, Hasan SA. Masses of nasal cavity, paranasal sinuses and nasopharynx: A clinicopathological study. Indian J Otolaryngol Head Neck Surg. 2006;58(3):259-63.

Dafale SR, Yenni VV, Bannur HB, Malur PR, Hundgund BR, Patil SY. Histopathological study of polypoidal lesions of the nasal cavity – A cross sectional study. Al Ameen J Med Sci. 2012;5(4):403-6.

Diamantopoulus II, Jones NS, Lowe J. All nasal polyps need histological examination: An audit-based appraisal of clinical practice. J Laryngol Otol. 2000:114:755-9.

Kale SU, Mohite U, Rowlans D, Drake- Lee AB. Clinical and histopathological correlation of nasal polyps; Are there any surprises? Clin Otolaryngol Allied Sci. 2001;26:321-3.