Spectrum of of nasal, paranasal sinus and nasopharyngeal mass with radiological correlation at a tertiary care hospital, Gujarat, India

Abstract

Introduction: The nasal masses are most commonly encountered condition in outpatient department of otorhinolaryngology.A sino nasal mass can have various differential diagnosis. They may be inflammatory, congenital, neoplastic (benign and malignant), traumatic in nature. Classically benign neoplasm expands and remodel bone and aggressive malignancies destroy and invade adjacent tissue with ill-defined margin[1]. Various pathologies ranging from non-neoplastic lesion to malignant tumor may present as simple nasal mass. Neoplasms of the sinuses and nasal cavity account for 0.2–0.8 % of all carcinomas. Aim: This study aims to evaluate the spectrum of nasal, PNS and nasopharyngeal diseases on histopathology and correlate their age, gender, histopathological and radiological findings. Materials and methods: This was an observational study carried out at the Department of Pathology, at Gujarat Adani Instituteof Medical Sciences, Bhuj from June 2021 to May 2022. Total 80 cases of nasal, paranasal sinus and nasopharyngeal masses were included for histopathological examination. Results: We studied 80 cases out of which 57 (71.25%) were male and 23 (28.75%) were females. From 80 cases, 63 (78.75%) caseswere non-neoplastic in nature while 17(21.25%) were neoplastic. Out of 17 neoplastic cases, 4 (5%) are benign tumors and 13 (16.25%) are malignant tumors. Radiological correlation seen in 79 (98.75%) cases out of total 80 (100%) cases. Conclusions: It can be concluded from our study that histopathological examination is mandatory for confirmatory diagnosis of any masses present in nasal, paranasal sinus and nasopharynx. Radiological investigation always play important role as it helps pathologist as well as clinician about primary diagnosis of whether benign or malignant.