Clinico-pathological and radiological assessment of benign nasal masses
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20174339Keywords:
Polyp, Angiofibroma, Inverted papilloma, Computed tomography, Functional endoscopic sinus surgeryAbstract
Background: Sinonasal masses are uni or bilateral with variable and with multiple etiological factors. Benign masses are common in comparison to malignant in this region. Some of the benign masses e.g. juvenile angiofibroma and inverted papilloma cause local bony destruction. Preoperative radiological assessment is desirable for proper surgical Management. The purpose of the study was to assess the clinical and radiological findings of sinonasal masses and the correlation of the clinical and radiological findings with the histopathology.
Methods: This prospective study was carried out on 50 cases if intra nasal masses. After clinical examination, these patients were subjected to radiology. The parameters assessed were the origin, extension, involvement of adjacent structure. Subsequently, all the cases were subjected to surgery i.e. polypectomy, medial maxillectomy, excision with the help of nasal endoscope. Thereafter, the histopathological findings were correlated with clinical and radiological findings.
Results: Total 50 cases of intra nasal benign masses were included in the study. Among them 36 (72%) cases were of nasal polyps, out of which 29 (80.5%) were inflammatory polyps and 7 (19.4%) were allergic polyps. Among inflammatory polyps, 23 (79.3%) were males and 6 (20.69%) were females. Among allergic polyps 4 (57.14%) were males and 3 (42.85%) were females. The other findings were 5 (10%) cases of angiofibroma, 5 (10%) cases on inverted papilloma, 3 (6%) cases of haemangioma and 1 (2%) cases of chondrosarcoma.
Conclusions: Considering the result obtained, the most common sinonasal lesions were inflammatory polyps. Others in order in order of frequency were allergic polyp, angiofibroma, inverted papilloma, haemangioma and chondrosarcoma.
References
Rawat DS, Chadha V, Grover M, Ojha T, Verma PC. Clinico-pathological Profile and Management of Sino-nasal Masses: A Prospective Study. Indian J Otolarngol Head Neck Surg. 2013;65(2):388-93.
Settipane GA. Nasal polyps: pathology, immunology and treatment. Am J Rhinol. 1987;1:119-26.
Batsakis JG, Sneige N. Choanal and angiomatous polyps of the sinonasal tract. Ann Otol Rhinol Laryngol. 1992;101:623-5.
Hedman J, Kaprio J, Poussa T, Nieminen MM. Prevalence of asthma, aspirin intolerance, nasal polyposis and chronic obstructive pulmonary disease in a population-based study. Int J Epidemiol. 1999;28:717–22.
Wenig MB. Tumors of the upper respiratory tract. Part A: Nasal cavity, paranasal sinuses, and nasopharynx. Chapter 4. In: Fletcher C D M, Ed. Diagnostic Histopathology of Tumors; Volume 1. 3rded. Philadelphia, USA: Churchill Livingstone (Elsevier); 2007: 83-149.
Sharma R, Sharma VK, Madhok R, Agarwal T, Mehrotra A, Kochhar A. Uncommon and Atypical Sinonasal masses: Diagnostic and Therapeutic Challenges. Clin Rhinol An J 2012;5(3):114-7.
Somani S, Kamble P, Khadkear S. Mischievous presentation of nasal masses in rural areas. Asian J Ear Nose Throat. 2004;2:9-17.
Newton JR, Ah-See KW: A review of nasal polyposis, Therapeutics and Clinical Risk Management. 2008;4(2):507-12.
Garg D, Mathur K. Clinico-Pathological Study of Space Occupying Lesions of Nasal Cavity, Paranasal Sinuses and Nasopharynx. J Clin Diagn Res. 2014;8(11):42-8.
Majumdar AB, Sarker G, Biswas D, Dey S, Prasad A, Pal R. Clinicopathological study of sino-nasal masses. National J Otorhinolaryngol Head Neck Surg. 2014;2(11):1.
Raj Jyothi A, Sharmila PS, Shrivastava M, Mahantachar V, Rajaram T. Morphological spectrum of lesions in the sinonasal region. J Evol Med Dental Sci. 2013;2(37):7175-86.
Gupta R, Moupachi S, and Poorey V. Sinonasal Masses: A Retrospective Analysis. Indian J Otolaryngology Head Neck Surg. 2013;65:52-6.
Chamyal PC. Nasal polyposis in children. Indian J Pediatr. 1992;59(3):357-9.
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.
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;58:259–63.
