A study of benign sino-nasal tumors in rural tertiary care hospital
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20231465Keywords:
Sino-nasal tumors, Benign neoplasm, Unilateral nasal mass, Endoscopic sinus surgeryAbstract
Background: The sino-nasal unit, although anatomically a very small space, is quite exceptional in the sense that an eclectic mix of neoplastic tumors originate from here. The diverse nature of the neoplastic pathologies and their unique natural histories prompted for this study.
Methods: In this prospective study of two years, done in a rural tertiary care hospital of India, 46 patients with benign neoplastic tumors of nasal cavity, sinuses and nasopharynx were analyzed for their clinic-pathological and radiological profile and surgical management.
Results: The incidence of benign tumor was predominant in second decade (34.8%) with significant male preponderance (M:F ratio 2.28:1). Unilateral nasal obstruction (100%) and epistaxis (84.8%) were the two most common presenting complaints. Almost half (48%) of the patients presented as late as more than one year after the onset of the symptoms. Nasal cavity was the commonest site of the tumors (50%). The most common benign tumor in present study was capillary hemangioma (41.31%) followed by angiofibroma (26.09%). All tumors were removed by a standard functional endoscopic sinus surgery or combined approach. Except a single case of inverted papilloma, all the other cases showed no recurrence at the end of one year follow up period.
Conclusions: It can be concluded from present study that conjoint application of radiology, endoscopy and histopathology is of utmost importance in dealing with benign neoplastic pathology of sino-nasal region. There is significant success in managing benign sino-nasal tumors with functional endoscopic sinus surgery or by combined approach.
References
Stammberger H, Lund VJ. Anatomy of the nose and paranasal sinuses. In: Michael Gleeson M, eds. Scott-Brown’s otorhinolaryngology, head neck surgery. London: Hodder Arnold; 2008: 1315-44.
Das SK, Rashid MA. Non-epithelial tumors of the nose, nasopharynx, and paranasal sinuses-a clinico-pathological study. Indian J Otolaryngol Head Neck Surg. 2005:120-4.
Rawat DS, Chadha V, Grover M, Ojha T, Verma P. Clinico-pathological profile and management of sino-nasalmasses: a prospective study. Indian J Otolaryngol Head Neck Surg. 2013;65(2):388-93.
Zafar U, Khan N, Afroz N, Hasan SA. Clinicopathological study of nonneoplastic lesions of nasal cavity and paranasal sinuses. Ind J of Pathol Microbiol. 2008;51(1):26-9.
Nair S, James E, Awasthi S, Nambiar S, Goyal S. A review of the clinicopathological and radiological features of unilateral nasal mass. Indian J Otolaryngol Head Neck Surg. 2013;65(2):199-204.
Tritt S, McMains KC, Kountakis SE. Unilateral nasalpolyposis: clinical presentation and pathology. Am J Otolarygol. 2008;29(4)230-2.
Bist SS, Varshney S, Baunthiyal V, Bhagat S, Kusum A. Clinico-pathological profile of sinonasal masses: An experience in tertiary carehospital of Uttarakhand. Ntnl J Maxillofac Surg. 2012;3(2):180-6.
Bakari A, Afolabi OA, Adoga AA. Clinico-pathological profile of sinonasal masses: an experience in nationalear care center Kaduna, Nigeria. BMC Res Note. 2010;3:186-6.
Lathi A, Syed MM, Kalakoti P, Qutub D, Kishve SP. Clinicopathological profile of sinonasal masses: a study from a tertiary care hospital of India. Acta Otorhinolaryngol Ital. 2011;31(6):372-7.
Dasgupta A, Ghosh RN, Mukherjee C. Nasal polypshistopathological spectrum. Indian J Otorhynolaryngol Head Neck Surg. 1997;49:32-7.
Kulkarni AM, Mudholkar VG, Acharya AS, Ramteke RV. Histopathological study of lesions of nose and paranasal sinuses. Ind J Otolaryngol Head Neck Surg. 2012;64(3):275-9.
Majumder AB, Sarker G, Biswas D, Dey S, Prasad A, Pal R. National Journal of Otorhinolaryngology and Head & Neck Surgery. 2014;2(11):1.
