A Clinicopathological Study Of Nasal Polyps
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 2
Abstract
Objectives: This study was done to assess the clinical presentation of various lesions manifesting as nasal and paranasal sinus polyps and to evaluate them by histopathological examination and ascertain their relative prevalence. This aids in their treatment protocol and also helps in the assessment of the prognosis of the individual disease. This study was done during a period of two years in our department. Materials and Methods: 75 Patients presented with nasal or paranasal sinal polypoidal masses to ENT department, Government General Hospital, Guntur during a period of two years from January 2015 to January 2017. All the patients were thoroughly investigated by complete blood chemistry, urine analysis, x-ray of paranasal sinuses and chest, ECG, Echocardiogram, and CT scan of PNS with or without contrast. They were treated surgically by endoscopic excision, lateral rhinotomy or by radical surgery. All the excised masses were sent for histopathological examination to determine their final diagnosis. Results: All the 75 patients in our study were treated surgically, mainly by FESS and were analysed. Non-neoplastic masses were commonest [59 cases - 78.67%]. 16 cases proved to be neoplastic [21.33%]. Non-neoplastic masses were found in all age groups whereas neoplastic masses were common in adult and elderly age groups [40 - 70 years]. Both benign and malignant masses were more common in males than females. Nasal obstruction was the commonest and major symptom in all the patients. Ethmoidal sinuses were the commonest sinuses to be affected in our study. Benign lesions were more common than malignant [12:4: 16%: 5.33%]. Conclusion: Polypoid lesions in the nasal cavity and paranasal sinuses may range widely from benign to malignant affecting all the ages. They also differ widely in their histological patterns. Clinically benign looking lesions may reveal their true nature only when subjected to histolopathological examination. This not only makes a gross difference in their management but also determines the prognosis of the individual patient. Hence, any excised polypoid lesion from nasal cavity or paranasal sinuses must be subjected to histopathological examination.
Authors and Affiliations
N Subrahmanyam, M Veera Kumar
Keywords
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