Debabrata Das, Ashis Kumar Ghosh, Riju Bhattacharya
Abstract: Introduction A variety of lesions present as polypoidal nasal mass ranging from simple inflammatory mucosal polyp to various benign and malignant neoplasms. Sequentially it should undergo clinical, endoscpic, radiological and finally histopathological examination after surgical excision. Materials & Methods 100 patients with nasal polypoidal mass, treated at ENT department BurdwanMedical College & Hospital, Burdwan from Feb2011 o January 2012, are included in this study consecutively.Patients with congenital nasal mass and a nasal mass with intracranial origin or extensions are exclude from the study. Result From our study, it is evident that the polypoidal masses in the nasal cavity and the paranasal sinuses form a wide spectrum of lesions ranging from the non-neoplastic lesions to benign and malignant neoplasms with various histopathologic findings which affect different age groups. Discussion Our study predominated by non neoplastic lesions out of which antrochoanal polyp is the commonest.In chronic specific granulomatous lesions it is rhinosporidiosis which dominated and among the neoplastic lesions we found angiofibroma, inverted papilloma as benign entities.As malignant neoplasms pathologies are squamous cell carcinoma, adenocarcinoma and adenocystic carcinoma. Conclusion Hence it is essential that all polypoidal masses should undergo a battery of radiological investigations and to be removed from nose and paranasal sinuses.Finally the excised lesions should be thoroughly evaluated histopathologically, to avoid misleading diagnosis. Pending final diagnosis, it is preferable to describe any polypoidal lesion as nasal polyps as a sign and not the final diagnosis.
Keywords: Polyoidal nasal mass, Nasal polyp