STUDY OF DIAGNOSIS AND MANAGEMENT OF MALIGNANT NEOPLASMS OF THE NOSE AND PARANASAL SINUSES: OUR EXPERIENCE

Abstract

N. Venkatram Reddy1, K. Anjani Kumari2, J. Bhupender Singh Rathod3, P. Amreetha Kaur4, D. Sridhar Reddy5

INTRODUCTION
Malignancies (M) of the Nose (N) and Para nasal sinuses (PNS) are uncommon to find in ENT practice. They pose a challenge to the surgeon in terms of early diagnosis and management that includes multiple treatment modalities. Such malignancies are presented from our institute out of other diseases of the Para nasal sinuses, their clinical, radiological and Histo-pathological features with a special emphasis on their management. All the patients were followed up for recurrence.
AIM
To make a clinical study of malignant neoplasms of nose and Para nasal sinuses with regard to their, clinical presentation, radiological assessment, Histopathological studies and treatment modalities.
MATERIALS AND METHODS
Patients attending the ENT outpatient department of a Tertiary Level Teaching Hospital of Government Ear, Nose & Throat Hospital, Koti/Osmania Medical College, Hyderabad, Telangana State from January 2014 to June 2015 with various diseases of nose and Para Nasal sinuses were screened and malignant tumors were identified, investigated and treated appropriately. Among these few cases are included in the present study. The patients are kept on a follow-up period of 6 to 9 months.
INCLUSION CRITERIA
All patients with Histopathological confirmation of malignant neoplasms of nose and Para nasal sinuses irrespective of sex were considered for study. All patients who were immunologically competent only were included in the study.
EXCLUSION CRITERIA
Pediatric malignancies are excluded. All immune-compromised patients are excluded from the study.
CONCLUSION
The Sino-nasal malignancies are not uncommon in ENT practice. Elderly males are commonly affected. Exact aetiology is obscure There is no evidence that chronic sinusitis predisposes to cancer. The incidence of chronic sinusitis in patients with Sino-nasal malignancies is the same as that in the general population. The challenge lies in diagnosing the malignancy as early as possible followed by selecting an appropriate treatment option and adequate follow up.

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