To study the demography of sinonasal masses, clinical presentation, histopathological pattern and to correlate clinical findings with histopathology. MATERIALS AND METHODS: The present study entitled "Clinico pathological study of sinonasal masses" was carried out in 100 patients who attended the ENT OPD and inpatients in the Department of Otorhinolaryngology and Head and Neck Surgery, Gajra Raja Medical College, Gwalior (M.P.) and associated with J.A. Group of Hospitals, Gwalior (M.P.) during the period of July 2011 to June 2013 who were diagnosed as cases of sinonasal masses on the basis of clinical and histopathological examination. RESULTS: 32% patients were in age group 15-24 years, 64% were males. Most significant complaints were nasal obstruction and rhinorrhoea. Among 100 patients, nasal polyps were diagnosed in 83 patients, angiofibroma in 7 patients, septal angioma in 2 patients, rhinosporidiosis in 2 patients and one case each of capillary haemangioma, squamous cell carcinoma, angiosarcoma, transitional cell carcinoma and nasopharyngeal carcinoma was present. CONCLUSION: In the present study of masses in sinonasal cavity, most of the patients presented with trivial nasal symptoms, and there is always a possibility to miss the diagnosis if great care is not taken while examining the patient. The findings must be interpreted in light of great clinical suspicion, and complete ENT examination including radiologic and endoscopic studies.
Olfactory neuroblastoma is an uncommon neuroectodermal tumour. Its biological activity ranges from indolent growth to local recurrence and rapid wide spread metastasis. Treatment option consists of surgical resection followed by radiation therapy for primary lesion and addition of chemotherapy for advanced, recurrent or metastatic lesion.
Tuberculosis is a chronic granulomatous disease which can affect any part of the body. Both primary and secondary tuberculosis can occur in the oral cavity, of which primary is a rare condition with the tongue being the most commonly affected site. We report a case of primary tuberculosis of tongue in a 46 year old male patient who presented with hemimacroglossia. Tuberculosis was not suspected clinically and there was no other focus elsewhere in the body. FNAC was attempted but was inconclusive. Diagnosis was made after histopathological examination.
Capillary haemangioma is a benign rapidly growing lesion characterized by a proliferation of capillaries arranged in lobules and separated by a loose connective tissue stroma, often infiltrated by inflammatory cells. Most mucosal capillary haemangioma of head and neck arise in the oral cavity, but the nasal cavity involvement is rare. The most common symptoms are unilateral epistaxis and nasal obstruction. The treatment of choice is surgery to remove the tumour even for large lesion.
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