CLINICOPATHOLOGICAL STUDY OF NASAL MASS- A TERTIARY CARE HOSPITAL BASED STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 38
Abstract
BACKGROUND The nose is the most prominent feature of the face and often catches the attention of the onlookers whenever it is deformed or altered in shape. Frequently patients attend ENT clinic with complaints of nasal obstruction, nasal discharge, nasal bleeding, anosmia, etc. In many cases this may be due to a mass in the nasal cavity. The present study is undertaken with a view to evaluate the aetiology of various nasal masses, correlate histological findings with clinical manifestations and attempt has been made to diagnose the tumour early to assist in planning management. MATERIALS AND METHODS This is a prospective study carried out in Dept. of ENT, VIMSAR, Burla over a period of 2 years. Total 130 patients with nasal mass were included in the study. After a thorough clinical evaluation which includes detailed history, symptomatology, routine and special investigations, patients were subjected to diagnostic nasal endoscopy, imaging of nose and PNS. For confirmation of diagnosis incisional or excisional biopsy with histopathological examination is done. RESULTS Out of 130 cases with nasal mass, 94 cases (73%) were non-neoplastic, 28 cases (21.53%) were benign and only 8 cases (5.38%) were malignant. Rhinosporidiosis was the most common nasal mass (34.61%) followed by AC polyp. Among nasal malignancy, the commonest is squamous cell carcinoma of maxillary sinus (37.5%). Nasal masses are more common in 2nd decade of life but malignancy of nose/PNS was common in 4th - 6th decade. Nasal masses were more common in males. Unilateral nasal obstruction was the presenting symptom in almost all cases. CONCLUSION Rhinosporidiosis, which was the most common nasal mass in our study is widely prevalent in western Odisha and is quite notorious for recurrence. As for the malignant condition of nose and PNS are concerned, early detection remains the key. It requires the combined effort of the surgeon, radiologist and pathologist for proper management. As most of these conditions have late presentations all the nasal masses should be examined thoroughly. However, health awareness among common people is of utmost importance for early diagnosis and management.
Authors and Affiliations
Kamalini Bepar, Utkal Priyadarshi Mishra, Souvagini Acharya, Sujit Kumar Brahma
Keywords
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- EP ID EP212884
- DOI 10.14260/Jemds/2017/658
- Views 68
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