A Clinicopathological Profile of Sino-nasal Masses at a Tertiary Care Hospital: A Descriptive Study
Main Article Content
Abstract
Introduction
The Sino-nasal mass is a common clinical entity. Although it has varied aetiology ranging from non-neoplastic to neoplastic, clinical presentation is overlapping that poses diagnostic dilemma. Objective of the study was to study the clinical profile of Sino-nasal masses in terms of demographic profile, clinical presentation and clinicopathological diagnosis.
Materials and Methods
A descriptive study was carried out at tertiary care hospital for 2 years. Clinically diagnosed cases of sino-nasal masses were included in the study. Previously treated cases, congenital lesions were excluded. Provisional diagnosis was made based on clinical and radiological evaluation. Diagnosis on histopathological examination was considered as definitive.
Results
Total of 75 patients were included in the study. Demographic data showed slight male predominance (M:F= 1.08:1), with most patients from age group 31-40 years (26.67%). Nasal obstruction was the most common presenting symptom. The number of patients with non-neoplastic lesion was 48; 17 patients had neoplastic benign lesions while 6 patients had neoplastic malignant lesions.
Conclusion
Large number of patients presents with trivial symptoms but need careful examination and appropriate diagnosis. Inflammatory lesions outnumbered neoplastic lesions in our study. Clinical suspicion and appropriate investigations can guide in timely intervention and management of these patients reducing the morbidity and mortality in these patients.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Somani S, Kamble P,Khadkears S. Mischievous presentation of nasal masses in rural areas. Asian Journal of Ear Nose Throat.2004; 2:9-17
Johansson L, Ākerlund AM Melen I, Holmberg K, Bende M. Prevalence of nasal polyps in adults: the Skovde population- based study. Annals of Otology, Rhinology & Laryngology 2003;112(7) :625-9
Drake-lee A. Physiology of the nose and paranasal sinuses, In: Browning GG, Merchant SN, Kelly G (eds). Scott-Brown’s Otolaryngology. Head and Neck Surgery: 7th ed. Great Britain: Hodder Arnold. 2008; 2:1355-7
Chaudhary VK, Tailor MK, Kotia A, Aseri Y, Verma PC. Clinico–Pathological Study and Endoscopic Management of Sino-Nasal Masses. IOSR Journal of Dental and Medical Sciences 2017; 16(10):16-9
Saleem SM. Modified Kuppuswamy socioeconomic scale updated for the year 2020. Indian Journal of Forensic and Community Medicine 2020;7(1):1-3
Vaghela K, Shah B. Evaluation of paranasal sinus diseases and its histopathological correlation with computed tomography. Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology 2018 ;4(1):11-3
Maheshwari A, Bansal A. Clinico-pathological spectrum of sinonasal masses: a tertiary care hospital experience. International Journal of Otorhinolaryngology and Head and Neck Surgery 2017; 3(4):1015-9
Mane PS, Agale SV. Clinicopathological Study of Sinonasal masses. Annals Pathol Laboratory Med. 2017; 4(3):261-7
Zafar U, Khan N, Afroz N, Hasan SA. Clinicopathological study of non-neoplastic lesions of nasal cavity and paranasal sinuses. Indian Journal of Pathology and Microbiology 2008; 51(1):26-9
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 Otorhinolaryngologica Italica 2011; 31(6):372-7
Humayun AHM, Zahurul Huq AHM, Ahemad SMT, Kamal MS, Bhattacharjee N. Clinicopathological study of sinonasal masses. Bangladesh Journal of Otorhinolaryngology 2010;16(1):15-22
Parajuli S, Taladhar A. Histopathological spectrum of masses of the nasal cavity, paranasal sinuses and nasopharynx. Journal of Pathology of Nepal 2013; 3:351-5
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 (1):1-5
Dutta M, Ghatak S, Sen I, Sinha R. Variable Presentations of Sinonasal Polypoid Masses: A Tertiary Institution Experience. Kathmandu Uni Med J. 2016;14(56):322-7
Pandey RK, Kumar D, Shrivastava N, Kumar N. Clinico-epidemiological evaluation of patients with sinonasal masses attending a tertiary care hospital in Jharkhand: a three- year retrospective study. International Journal of Otorhinolaryngology and Head and Neck Surgery 2017; 3(1):132-4
Bist SS, Varshney S, Baunthiyal V, Bhagat S, Kusum A. Clinico-pathological profile of sinonasal masses: An experience in tertiary care hospital of Uttarakhand. National Journal of Maxillofacial Surgery 2012;3(2):180-6
Kulkarni AM, Mudholkar VG, Acharya AS, Ramteke RV. Histopathological study of lesions of nose and paranasal sinuses. Indian J Otolaryngol Head Neck Surg. 2012; 64(3):275-9.