关键词: angiofibroma inverted papilloma neoplastic proptosis sinonasal

来  源:   DOI:10.7759/cureus.50700   PDF(Pubmed)

Abstract:
BACKGROUND: Diseases of the nose and paranasal sinuses have a significant impact on the patient\'s functional and structural aspects. They affect all age groups and both sexes. Due to its proximity to vital structures, diseases of the nose and paranasal sinuses sometimes lead to very grave prognoses.
METHODS: This was a retrospective study done in one of central India\'s largest tertiary care centers. We studied 227 cases of sinonasal masses in both the non-neoplastic and neoplastic categories. Clinicopathological characteristics of masses were analyzed with the help of clinical and imaging findings and subsequently confirmed by tissue diagnosis.
RESULTS: The mean age of presentation was 45.5 years, with a male-to-female ratio of 1.25:1. Most of our patients were from lower-middle socioeconomic groups with educational qualifications below the 10th standard. Nasal obstruction was the most common symptom. A computed tomography scan was the preferred radiological investigation. Sinonasal undifferentiated carcinoma was the most common variant of malignancy, with a total number of six out of 22 (27%).
CONCLUSIONS: The evaluation of sinonasal masses should be carried out systematically and meticulously. Since the initial presentation of most of the diseases of the nose and paranasal sinuses is the same, a proper clinical, radiological, and tissue diagnosis should be carried out to avoid causing malignant lesions.
摘要:
背景:鼻和鼻旁窦的疾病对患者的功能和结构方面有重大影响。它们影响所有年龄组和两性。由于它靠近重要结构,鼻子和鼻旁窦的疾病有时会导致非常严重的预后。
方法:这是一项在印度中部最大的三级护理中心之一进行的回顾性研究。我们研究了227例非肿瘤性和肿瘤性两种类型的鼻窦肿块。在临床和影像学发现的帮助下分析肿块的临床病理特征,随后通过组织诊断证实。
结果:就诊平均年龄为45.5岁,男女比例为1.25:1。我们的大多数患者来自中下层社会经济群体,其学历低于第10标准。鼻塞是最常见的症状。计算机断层扫描是首选的放射学检查。鼻窦未分化癌是最常见的恶性肿瘤,总共22人中有6人(27%)。
结论:鼻窦肿块的评估应系统细致地进行。由于大多数鼻和鼻旁窦疾病的最初表现是相同的,一个适当的临床,放射学,应进行组织诊断,以免引起恶性病变。
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