SPECTRUM OF SINONASAL MASS AT A TERTIARY LEVEL HOSPITAL

Abstract

Amit Kumar Bhardwaj1, Amit Kumar Tiwari2, Tapas Ranjan Behera3, Amar Bahadur Singh4, Maikal Kujur5

BACKGROUND
Lesions of the sinonasal region are commonly encountered in clinical practice. These lesions are important from clinical and pathological view as they have a variety of histological spectrum with different managements.
MATERIALS AND METHODS
Present study included 106 polypoidal lesions of the nasal cavity. The study period constituted from March 2003 to August 2014. All the tissues were fixed in 10% buffered formalin, processed and stained with Haematoxylin and Eosin and studied for various histopathological patterns.
RESULTS
Among 106 cases, 87 cases (82.07%) were nonneoplastic and 19 cases (17.92%) were neoplastic. Among the noninflammatory lesion, nasal polyp was found in 76 cases (87.7%) and was the commonest lesion. Benign tumours were 11 in number (10.35%) and were more frequent than malignant tumours, which were 8 in number (7.54%). Among benign neoplastic lesions, angiofibroma and haemangioma (each 4 in number) (36.36%) were the commonest lesion. All lesions were common in second and third decades with male predominance in benign, while malignant lesions were more common in female gender. Among the malignant lesions, squamous cell carcinoma and undifferentiated nasopharyngeal carcinoma were the most common malignant lesions, each were three in number.
CONCLUSION
Categorisation of the sinonasal mass according to their histopathological features and comparing them with the existing data guides the treatment and prognosis of the disease, so far every polypoidal lesions histological examination is advised.

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