Sinonasal Mass—a Recent Study of Its Clinicopathological Profile

Abstract

A variety of non-neoplastic and neoplastic conditions involving the nasal cavity, paranasal sinuses (PNS), and nasopharynx are commonly encountered in clinical practice. The objectives of the study were to identify various pathological conditions that present with sinus or nasal mass, to understand their varied clinical behavior, to know the distribution of various lesions among the different age and sex groups, and to study the management of sinonasal masses and its outcome on follow-up. A prospective study was carried out from September 2013 to August 2015, in the Otorhinolaryngology Department of Hi-Tech Medical College & Hospital, Bhubaneswar, Odisha. The study included patients of any age and sex presenting with nasal symptoms (suspected of a sinonasal mass). This study included all cases seen during the above duration. Complete history was taken and full clinical examination was carried out. Majority of the patients with sinonasal masses were in the age group 41-50 years. Male:female ratio was about 1.2:1. Nasal obstruction was the most common presentation. Most common non-neoplastic lesion was rhinosporidosis and most common benign lesion was hemangioma. Most common malignant lesion was maxillary carcinoma. The presenting features of all sinonasal lesions may be indistinguishable and pose diagnostic dilemma. Correlation of clinical, radiologic, and most importantly pathologic modalities is of utmost importance for accurate diagnosis.

Clinicopathologic profile of sinonasal neoplasia in Kano, Northwestern Nigeria: A 10-year single-institution experience

“…[ 7 26 ] However, most other series across the globe with Nigeria inclusive reported a preponderance of benign neoplasm. [ 15 22 25 27 28 29 30 31 ] This could be explained by the fact that majority of the series included nonneoplastic sinonasal masses as benign lesions.…”

“…As mostly reported by studies, nasal obstruction was the most common presenting symptom among our patients. [ 7 15 22 26 27 28 29 35 ] On the contrary, however, Poursadegh et al . in Iran reported facial swelling as the most common symptom in their series.…”

“…[ 23 25 ] However, many studies from the Indian subcontinent reported hemangioma as the most common benign sinonasal tumor. [ 28 29 30 35 ] Sivalingam et al . in India reported extranasopharyngeal angiofibroma as most common, whereas Chukwuezi and Nwosu in Owerri, Nigeria, reported hemangioma.…”

“…Studies worldwide are in agreement on SCC being the most common malignant sinonasal tumor, and the finding of our study is not different. [ 5 7 15 22 23 24 25 28 29 30 32 33 34 35 ] The sinonasal SCC can be classified into keratinizing SCC (more common comprising more than 60%), nonkeratinizing SCC, and atypical variants such as basaloid, verrucous, and papillary. [ 36 ] Majority of our patients had keratinizing, followed by nonkeratinizing SCC.…”

Clinicohistopathological Profile of Nasal and Sinonasal Lesions: A Study From Central India

“…Overlapping clinicoradiology features often provides only proviginal diagnosis and Most of lesions either bleeds or are inaccessible for fine needle aspiration 2,3 Studying clinicohistopathology is crucial as possibility of changing a benign lesion in to malignancy could be identified. 4 Also frequency of non-neoplastic and neoplastic nasal and sinonasal lesions varies from region to region. 3.…”