The clinicpathological and radiological features of unilateral nasal mass in adults: A tertiary hospital experience
Introduction: Unilateral persistent nasal obstruction may indicate the presence of a sinonasal lesion, which could be inflammatory or neoplastic. It is a common practice to assume that unilateral nasal mass in adults is either inverted papilloma or a malignant lesion.
Aim of the study: Aim and objectives of the study were to analyze and study the diverse presentations of unilateral nasal mass and to identify the suggestive features of neoplastic pathology in adult population.
Methods: A retrospective analysis of 90 patients presented with unilateral sinonasal mass, reported to the Rhinology and Skull Base Clinic at the department of ENT in Shaheed Monsur Ali Medical College and Hospital, Uttara, Dhaka, Bangladesh. The cases reported from January 2019 till December 2019 were analyzed.
Result: A total of 34 patients reported to the rhinology clinic with unilateral sinonasal polyps consist of 21 (61.76%) males and 13 (38.24%) females with mean±SD age of 45.1±16.9, ranging from 19 to 78 years, of the 12 (35.29%) were smokers. The disease conditions were classified into different types (Figure 2) followed by benign tumors 18 (52.94%), 9 (26.47%) malignant cases, non-inflammatory 6 (17.65%), and mixed type 1 (2.94%). It is observed that there is a statistically significant relationship between gender (p=0.023) and the different types of diseases diagnosed.
Conclusion: Carcinoma, inflammatory polyposis, inverted papilloma, and allergic fungal sinusitis were the highest histological diagnosis. The clinical diagnosis and the suggestive features of radiological findings mostly resembled the histological findings. In contrary to the resemblance, the histological finding reveals the general diagnosis of nasal mass to the precise diagnosis, especially the fatal conditions like carcinoma. The high rate of malignancy and its suggestive radiological findings indicates that the specialists should consider the cases with caution to carry out histological analysis to rule out the probability of neoplasm.
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