Polypoidal masses in nasal cavity among patients in a tertiary level: a clinico-pathological spectrum

  • Dr. Neetu Bajaj Assistant Professor, Department of E.N.T., Bundelkhand Medical College and Hospital, Sagar, Madhya Pradesh, India
  • Dr. Dharmendra Kanoriya M.D.S., Department of Dentistry, District Hospital, Sagar, Madhya Pradesh, India
Keywords: Nasal Polyps, Nasal cavity, Histopathological, Non-neoplastic, Neoplastic

Abstract

Introduction: Polypoidal mass in nose and paranasal sinuses are very common, that bulges or projects downwards from the normal nasal surface. The aim of the present study was to determine the incidence of nasal polypoidal mass and clinical and pathologic data of a group of consecutive cases.

Materials and Methods: Clinico-pathological study of 92 consecutive cases of nasal polypoidal mass from single institution was performed for a period of 3 years. Clinical examination, routine investigations, Chest X ray PA were taken for all patients. Excised tissues were routinely processed for histopathologic examination.

Results: Analysis of 92 polypoidal lesions in the nose and paranasal sinuses with clinical diagnosis of nasal polyps, revealed 52 cases were non-neoplastic and 40 were neoplastic; 34 (85%) were benign and 6 (15%) were malignant. True nasal polyps both inflammatory and allergic together comprised 49 cases of the 52 polypoidal lesions in the nasal cavity. Angiofibroma and capillary hemangioma were the most frequent benign tumour accounting for 30/34 (44%). The most common malignant tumour was squamous cell carcinoma 5/6 (83.3%).

Conclusion: Majority of polypoidal mass in the nasal cavity were non-neoplastic, with histopathological examination being the easiest method for identification and distinguishing the type of sinonasalpolypoidal masses.

Downloads

Download data is not yet available.

References

1.Zafar U, Khan N, Afroz N, Hasan SA. Clinico-pathological study of non-neoplastic lesions of nasal cavity and paranasal sinuses. Indian J Pathol Microbiol. 2008;51(1):26-9.

2. Somani S, Kamble P, Khadkear S. Mischievous presentation of nasal masses in rural areas. Asian J Ear Nose Throat 2004;2:9-17 DOI 10.18203/issn.2454-5929. ijohns20170946

3. Lingen MW, Kumar V. Robbin’s and Cotran Pathologic Basis of Disease. 7th ed. Philadelphia: Elsevier inc; 2005. Head and Neck. In: Kumar V, Abbas AK, Fausto N, editors; p. 783.

4. Hedman J, Kaprio J, Poussa T, Nieminen MM. Prevalence of asthma, aspirin intolerance, nasal polyposis and chronic obstructive pulmonary disease in a population-based study. Int J Epidemiol. 1999; 28 (4): 717-22. DOI: 10.1093/ije/28.4.717

5. Friedmann I. Nose, throat and ears. 3rd ed. Edinburgh: Churchill Livingstone; 1986. Inflammatory conditions of the nose.In: Symmers WSTC,ed; pp.19–23

6. Larsen PL, Tos M. Origin of nasal polyps: an endoscopic autopsy study. Laryngoscope. 2004; 114(4):710-9. DOI:10.1097/00005537-2004040 00-00022

7. Settipane GA. Epidemiology of nasal polyps. Allergy Asthma Proc. 1996;17(5):231-6. DOI:10.2500/ 10885 4196 778662246

8. Ackerman LY. Surgical pathology, 6th Edition by Rosai. The Mosby Company St. Louis; pp:205.

9. Dasgupta A, Ghosh RN, Mukherjee C. Nasal polyps - histopathologic spectrum. Indian J Otolaryngol Head Neck Surg. 1997;49(1):32-7. DOI: 10.1007/ BF 0299 1708.

10. Garg D, Mathur K. Clinico-pathological Study of Space Occupying Lesions of Nasal Cavity, Paranasal Sinuses and Nasopharynx J ClinDiagn Res 2014;8(11): FC04–FC07. DOI: 10. 7860/ JCDR/ 2014/10662.5150

11. Kulkarni AM, Mudholkar VG, Acharya AS, Ramteke RV. Histopathological study of lesions of nose and paranasal sinuses. Indian Journal of Otolaryngology and Head & Neck Surgery. 2012;64(3):275-9.

12. Drake-Lee AB, Lowe D, Swanston A, Grace A. Clinical profile and recurrence of nasal polyps. J Laryngol Otol. 1984;98(8): 783-93. DOI:10.1017/ s002 2215100147462

13. Lund VJ. Diagnosis and treatment of nasal polyps. BMJ. 1995;311(7017):1411-4. DOI:10.1136/bmj. 311. 7017.1411

14. Lathi A, Syed MMA, Kalakoti P, Qutub D, Kishve SP. Clinicopathological profile of sinunasal masses: a study from a tertiary care hospital in India. Acta Otorhinolaryngol Ital 2011; 31(6): 372–377.

15. Bist SS, Varshney S, Baunthiyal V, Bhagat S, Kusum A. Clinico-pathological profile of sinonasal masses: An experience in tertiary care hospital of Uttarakhand Natl J MaxilloFacSurg. 2012;3(2):180–186. DOI: 10.4103/0975-5950.111375

16. Pradhananga RB, Adhikari P, Thapa NM, Shrestha A, Pradhan B. Overview of nasal masses J Inst Med 2008; 30:13–16.

17. Casale M, Pappacena M, Potena M, Vesperini E, Ciglia G, Mladina R, et al. Nasal polyposis: from pathogenesis to treatment, an update. Inflamm Allergy Drug Targ. 2011;10(3):158-63.

18. Morelli L, Polce M, Piscioli F, Del Nonno F, Covello R, Brenna A, et al. Human nasal rhinosporidiosis: an Italian case report. Diagnos Pathol. 2006;1(1):25.

19. Syrjänen KJ. HPV infections in benign and malignant sinonasal lesions. J ClinPathol. 2003;56 (3): 174-81. DOI:10.1136/jcp.56.3.174

20. Bakari A, Afolabi OA, Adoga AA, Kodiya AM, Ahmad BM. Clinico-pathological profile of sinonasal masses: an experience in national ear care center Kaduna, Nigeria. BMC Res Notes. 2010; 3(1):186. DOI: 10. 1186/1756-0500-3-186.

21. Becker SS. Surgical management of polyps in the treatment of nasal airway obstruction. OtolaryngolClin North Am. 2009;42(2):377-85, x. DOI: 10.1016/j.otc. 2009. 01.002.

22. Mishra D, Singh R, Saxena R. A Study On The Clinical Profile And Management Of Inverted Papilloma. Internet J Otorhinolaryngol. 2009;10(2).
CITATION
DOI: 10.17511/jooo.2019.i03.11
Published: 2019-07-31
How to Cite
Bajaj, N., & Kanoriya, D. (2019). Polypoidal masses in nasal cavity among patients in a tertiary level: a clinico-pathological spectrum. Tropical Journal of Ophthalmology and Otolaryngology, 4(3), 244-249. https://doi.org/10.17511/jooo.2019.i03.11
Section
Original Article