Clinical and histopathological correlation of the excised sinonasal masses
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 9, Issue 1
Abstract
Background: A sinonasal mass in the nasal cavity is a commonly encountered condition by the Otorhinolaryngologists. Despite the high prevalence, its treatment often presents a clinical dilemma. A diverse group of lesions may present themselves as sinonasal masses. They may be simple mucosal polyp or a variety of other pathological entities like granulomatous diseases, papillomas, vascular masses or malignant neoplasms. A number of deceptively benign looking polyps often turn out to be malignant lesions or vice versa. Methods: Patients coming from various parts of Bihar with any sinonasal mass will be included in the study. Total 50 patients were included, all of the recruited patients were evaluated to the demographic distribution, clinic-pathological features, radiological findings of sinonasal masses, relative incidence and to classify the lesions into neoplastic and non neoplastic lesion. The study was conducted in the department of ENT andHNS, Darbhanga medical college and Hospital. Results: We have divided all the sino-nasal masses into non- neoplastic ,neoplastic lesion. In our study of 50 cases, the non-neoplastic masses formed the majority group with 31 cases (62%) having maximum age incidence in 18 to 39year and predominantly in males (74.2%) [23cases]. The lesions found in this group were antrochoanal polyp 19 cases (61.3%) and ethmoidal polyp 5 cases (16.13%). The neoplastic masses were found in 19 of our cases (38%) had maximum age incidence between two age groups 18-29 years (47.37%) and 40-49 years (36.84%) with higher incidence in Males (73.7%). Conclusion: Radiological findings are of immense help in evaluating location, size, shape and extent of the mass. CT scan is invaluable in stating the extension of malignant lesion, any destruction of surrounding structures, intracranial invasion etc. Histopathological examinations give the final verdict about the correct nature of the growth and it is extremely essential for proper planning of treatment modality.
Authors and Affiliations
Manoj Kumar, M K Bose
Keywords
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- EP ID EP467800
- DOI 10.26611/1016918
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