DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20222441
Published: 2022-09-26

A study of clinical and histopathological correlation of sinonasal masses

Atishkumar B. Gujrathi, Indutai G. Rathod, Shashin Khadkekar, Nishikant Gadpayale, Yogesh Paikrao, Paritosh A. Kamble, Harshada Kurande, Libin Mathew Benny

Abstract


Background: Nasal masses are finding in an ENT (Ear, nose, throat) outpatient department. Most patient present with complaints of nasal obstruction.Other symptoms are nasal discharge, epistaxis and disturbances of smell. Sinonasal mass may be neoplastic (benign or malignant) or non-neoplastic (congenital, inflammatory) in nature. It is difficult to determine actual pathology underneath every nasal masses so, histopathological evaluation is mandatory for definitive diagnosis.

Methods: The present study is prospective observational study of symptomatology, demographic profile and histopathological correlation of sinonasal masses in samplw size 80, these are the total number of patients presenting at tertiary health care centre from 1st Jan 2019 to 30th June 2020 (18 months) the study include, patients of any age and sex presenting with nasal symptoms

Results: Majority of patients with sinonasal masses where in the age group 2nd decade. Male female ratio was 1.28:1. Nasal obstruction was the most common presentation. Most common non neoplastic lesion was ethmoidal polyposis and most common benign lesion was hemangioma. Most common malignant lesion was squamous cell carcinoma.

Conclusions: Presenting features of all sinonasal masses may be indistinguishable and post diagnostic dilemma. Correlation of clinical and histo-pathological modalities is of utmost importance for accurate diagnosis.


Keywords


Sinonasal mass, Nasal obstruction, Polyp, Squamous cell carcinoma

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References


Humayun AHM, Zahurul Huq AHM, Ahmed SMT. Clinicopathological study of sinonasal masses. Bangladesh J Otorhinolaryngol. 2010;16:15-22.

Lathi A, Ayed MM, Kalakoti PM, Qutub D, Kishve SP. Clinico pathological profile of sinonasal masses: A study from a tertiary care hospital of India. ACTA Otorhino-laryngologicaitalica. 2011;31(6):372.

Alpesh M, Umang VP, Atul S, Nayna RL, Tejas C. Histopathological study of nasal masses in patients coming to tertiary care hospital. Med J Dr D. Y. Patil Uni. V2015;8(4):468-73.

Bist SS, Varshney S, Baunthial V, Bhagat S, Kusum A. Clinico pathological profile of sinonasal masses and experience tertiary care hospital of Uttarakhand. Natl J Maxillofac surg. 2012:3:180-6.

Sahni D, Kaur G, Verma P, Kaur R, Singh H. Clinico-pathological and radiological correlation of sino-nasal masses in a tertiary care center. Int J Otorhinolaryngol Head Neck Surg. 2020;6(7):1342-6.

Sharma R. Sahni D, Uppal K, Gupta R, Singla G. A clinicopathological study of masses of nasal cavity paranasal sinuses and nasopharynx. Int J Otorhinolaryngol Head Neck Surg. 2017;3(2)253-8.

Zafar U, Khan N, Afroz N. Clinico pathological study of non-neoplastic lesion of nasal cavity and paranasal sinuses. Ind J pathol Microbial. 2008;26-9.

Bakari A, Afolabi OA, Adoga AA. Clinico pathological profile of sinosal masses: an experience in national Ear care center Kaduna, Nigeria. BMC Res Nots. 2010;3:186-6.

Agarwal P, Panigrahi R. Sinonasal mass-a recent study of its clinic-pathological profile. Indian J Surg Oncol. 2017;8(2):123-7.

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

Khan N, Zafar U, Afroz N, Ahmed SS, Hasan SA. Masses of nasal cavity, paranasal sinuses and nasopharynx a Clinico pathological study. Indian J Otolaryngol Head Neck Suge. 2006;58:259-63.

Dhillon B, Dhingra R, Davessar JL, Chaudary A. Correlation of clinical, radiological and histopathalogical diagnosis among patients with sinonasal masses. Int J Comtemporari Mad Res. 2016;3(6)1612-5.

Das Gupta A, Ghosh RN, Murkhjee C. Nasal polyps Histo-pthologic sepcturm. Indian J Otolaryngol Head Neck Suge. 1997;49:32-6.

Kale SU, Mohite E. Clinical and histopathalogical correlation of nasal polyps. Clin Otolaryngol Allied Sci. 2001;26:321-3.

Diamantopoulus JNS, Lowe J. All nasal polyps needs histological examination an audit based appraisal of clinical practice. J Laryggol Otol. 2000;114:755-9.

Abdul-Karim H, Mohammed N, Adel AI. The utility of clinicopathological correlation of sinonasal masses in tertiary hospital. J Evol Med Dent Sci. 2021(10)679-83.