Clinicopathological and Radiological Features of Unilateral Nasal Mass in Adults - A Tertiary Care Hospital Experience

Open Access

Abstract

Abu Zafar Saleh1*, Mostafa Kamal2 Introduction: Aim and objectives of the study were to analyze and study the diverse presentations of unilateral nasal mass and to identify the suggestive features of neoplastic pathology in adult's population at a tertiary referral hospital. Aim of the study: Aim and objectives of the study were to analyze and study the diverse presentations of unilateral nasal mass and to identify the suggestive features of neoplastic pathology in adult's population at a tertiary referral hospital. Methods: This prospective observational study was conducted in the Department of ENT, Khulna Medical College and Hospital, Khulna, Bangladesh. The study period was between January 2021 and December 2021. The parameters include patient history, clinical assessments and histopathological examinations, which were supplemented with radiological investigations. In addition, demographic information and histopathological examinations for patients, who underwent surgical excision was analyzed for correlation with clinical diagnosis. Result: The reported cases are 55 males and 35 females with a median follow-up period of 12 months, ranging from 2-72 months. Nasal obstruction is the major symptom 34 (38%), 25 (27.8%) cases were reported with nasal mass and clinical diagnosis indicates 18 (20%) cases of malignancy. Type of disease and gender demonstrates low significance (p=0.023), whereas the diagnosis with age is highly significant (p=0.005). Conclusion: Carcinoma, inflammatory polyposis, inverted papilloma and allergic fungal sinusitis were the highest histological diagnosis. The clinical diagnosis and the suggestive features of radiological findings mostly resembled the histological findings. In contrary to the resemblance, the histological finding reveals the general diagnosis of nasal mass to the precise diagnosis, especially the fatal conditions like carcinoma. The high rate of malignancy and its suggestive radiological findings indicates that the specialists should consider the cases with caution to carryout histological analysis to rule out the probability of neoplasm.