Sinonasal Mass - A Diverse Clinicopathological Entity – An Experience in a Tertiary Care Centre in the North Eastern India

Abstract

BACKGROUNDMass in the nasal cavity is frequently encountered in routine ENT practice. The histopathological profiles of these masses are diverse and diagnosis can often be challenging for the clinician and the pathologist. MATERIALS AND METHODSA one-year observational study was conducted in a tertiary care centre to study the clinicopathological profile of sinonasal mass. RESULTSA total of 34 cases were included in the study which included 22 males and 12 females. The most common presenting complaints were nasal obstruction (88.2%) followed by epistaxis (44.1%). Though majority of the patients presented within six months of onset of symptoms, about 35.3% of the patients presented within six to twelve months of the onset of symptoms. Sinonasal polyps (47.1%) were the most common histological diagnosis while squamous cell carcinoma of the maxilla was the most common malignancy (17.6%), followed by sinonasal lymphoma and melanoma (5.9% each) and olfactory neuroblastoma (2.9%). 73% of the lesions were amenable to surgical treatment. CONCLUSIONThe treatment of sinonasal lesions depend on the histological profile and the diagnosis of the same can often be a challenging task. One has to be aware of the differential diagnosis and rule them out by proper histological evaluation.