Rare endonasal tumors

Sinonasal malignancies are basically rare tumors, accounting for 1 % of all malignancies and only 3-5 % of all head and neck cancer. In the sex distribution of new diseases there is a slight dominance in male patients. Non-specific symptoms such as recurrent epistaxis, nasal obstruction and olfactory disturbances characterize the onset of the disease. In the period from 01.05.2019 to 01.09.2019, 3 patients presented with different diagnoses of endonasal tumors in the Halberstadt ENT Clinic. After complete ENT examination, all patients underwent complete staging, followed by rhinoscopy and histological analysis. There were histopathological findings which were not expected from the clinical picture. For example, a recurrent Epistaxis showed histologically as a malignant melanoma of the mucosa in the upper left nasal passage. In another case, the cause of a papillary neoplasm of the nasal septum was found clinically imposing as a polyp as an infiltration of a Diffuse Large B-cell Lymphoma. In the third case, a cavernous hemangioma of the right middle turbinate was the cause of frequent epistaxis and not a macroscopically malignant tumor as predicted. In summary, it should be noted that in the treatment routine of clinically initially inconspicuous appearing masses of the nose and paranasal sinuses is also to think of rare malignant tumor entities.

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Publication History

Article published online:
10 June 2020