Different Faces of Sinonasal Mass Lesions
Introduction Mass in the nasal cavity presents with a wide range of symptoms, when a presumptive diagnosis is often made with the help of imaging and endoscopy. This study focussed on correlating clinical diagnosis with the histopathological diagnosis so that appropriate treatment can be offered...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2021-02-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/288 |
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| author | Devika T Shubha P Bhat Vadisha Srinivas Bhat Rajeshwary Aroor Satheesh Kumar Bhandary B Gautham MK Samatha KJ |
| author_facet | Devika T Shubha P Bhat Vadisha Srinivas Bhat Rajeshwary Aroor Satheesh Kumar Bhandary B Gautham MK Samatha KJ |
| author_sort | Devika T |
| collection | DOAJ |
| description | Introduction
Mass in the nasal cavity presents with a wide range of symptoms, when a presumptive diagnosis is often made with the help of imaging and endoscopy. This study focussed on correlating clinical diagnosis with the histopathological diagnosis so that appropriate treatment can be offered to improve the quality of life of the patient.
Materials and Methods
The study included 120 cases who presented with symptoms and signs of mass in the nasal cavity, undergoing surgery or diagnostic biopsy. They were evaluated with a detailed history and clinical examination, diagnostic nasal endoscopy, and relevant radiological investigations. Histopathological examination of the biopsy of the excised specimen was performed by Haematoxylin and Eosin stain. Special stains and Immunohistochemistry (IHC) were performed whenever indicated. The clinical diagnosis was correlated with histopathological diagnosis.
Results
Nasal obstruction was the most frequent symptom followed by nasal discharge. Non-neoplastic lesions made up 85% of cases, while16% of cases were proved as neoplastic lesions. Among neoplastic lesions, 7% were benign, and 9% were malignant. The inflammatory polyp was the most common non-neoplastic lesion. Fischer's exact test showed a correlation between clinical diagnosis and histopathological diagnosis. Non-neoplastic lesions were common in the 4th decade of life; benign lesions were common in the 3rd decade of life, while malignant lesions were common in the 5th decade of life.
Conclusion
Sinonasal masses present with overlapping clinical features, and sometimes the definite diagnosis is possible only by histopathological examination of the specimen. However, in the presence of characteristic clinical features, accurate clinical diagnosis is possible in most cases, and appropriate treatment can be performed without delay, pending histopathological examination. |
| first_indexed | 2024-03-07T17:47:32Z |
| format | Article |
| id | doaj.art-09bed47c93cd43958ef168b0be39882a |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:47:32Z |
| publishDate | 2021-02-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-09bed47c93cd43958ef168b0be39882a2024-03-02T14:39:34ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-02-0128310.47210/bjohns.2020.v28i3.288Different Faces of Sinonasal Mass LesionsDevika T0Shubha P Bhat1Vadisha Srinivas Bhat2Rajeshwary Aroor3Satheesh Kumar Bhandary B4Gautham MK5Samatha KJ6Department of ENT K S Hegde medical academy MangaloreDepartment of pathology K S Hegde Medical Academy Mangalorek S Hegde Medical Academy, Deralakatte, Mangalore, KarnatakaDepartment of ENT K S Hegde Medical Academy MangaloreDepartment of ENT K S Hegde Medical Academy MangaloreDepartment of ENT K S Hegde Medical Academy MangaloreDepartment of ENT K S Hegde Medical Academy MangaloreIntroduction Mass in the nasal cavity presents with a wide range of symptoms, when a presumptive diagnosis is often made with the help of imaging and endoscopy. This study focussed on correlating clinical diagnosis with the histopathological diagnosis so that appropriate treatment can be offered to improve the quality of life of the patient. Materials and Methods The study included 120 cases who presented with symptoms and signs of mass in the nasal cavity, undergoing surgery or diagnostic biopsy. They were evaluated with a detailed history and clinical examination, diagnostic nasal endoscopy, and relevant radiological investigations. Histopathological examination of the biopsy of the excised specimen was performed by Haematoxylin and Eosin stain. Special stains and Immunohistochemistry (IHC) were performed whenever indicated. The clinical diagnosis was correlated with histopathological diagnosis. Results Nasal obstruction was the most frequent symptom followed by nasal discharge. Non-neoplastic lesions made up 85% of cases, while16% of cases were proved as neoplastic lesions. Among neoplastic lesions, 7% were benign, and 9% were malignant. The inflammatory polyp was the most common non-neoplastic lesion. Fischer's exact test showed a correlation between clinical diagnosis and histopathological diagnosis. Non-neoplastic lesions were common in the 4th decade of life; benign lesions were common in the 3rd decade of life, while malignant lesions were common in the 5th decade of life. Conclusion Sinonasal masses present with overlapping clinical features, and sometimes the definite diagnosis is possible only by histopathological examination of the specimen. However, in the presence of characteristic clinical features, accurate clinical diagnosis is possible in most cases, and appropriate treatment can be performed without delay, pending histopathological examination.https://bjohns.in/journal3/index.php/bjohns/article/view/288Mass, SinonasalPresentationHistopathology |
| spellingShingle | Devika T Shubha P Bhat Vadisha Srinivas Bhat Rajeshwary Aroor Satheesh Kumar Bhandary B Gautham MK Samatha KJ Different Faces of Sinonasal Mass Lesions Bengal Journal of Otolaryngology and Head Neck Surgery Mass, Sinonasal Presentation Histopathology |
| title | Different Faces of Sinonasal Mass Lesions |
| title_full | Different Faces of Sinonasal Mass Lesions |
| title_fullStr | Different Faces of Sinonasal Mass Lesions |
| title_full_unstemmed | Different Faces of Sinonasal Mass Lesions |
| title_short | Different Faces of Sinonasal Mass Lesions |
| title_sort | different faces of sinonasal mass lesions |
| topic | Mass, Sinonasal Presentation Histopathology |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/288 |
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