Clinical Case Database / Category: Patient Management
Sinonasal tumours
Publication details
Francesca Neville, Saif Alzahed, Hisham Khalil
Foundation Years Journal, volume 7, issue 4, p.56 (123Doc Education, London, April 2013)
Abstract
This paper is a case discussion around the topic of sinonasal tumours. It is based on the case of a 62 year-old female who presented to the Head and Neck clinic with symptoms of left sided nasal obstruction and blood stained left nasal discharge. She was diagnosed with squamous cell carcinoma (SCC) of the left nasal vestibule and this was treated with surgical excision. This paper focuses on the clinical assessment of patients presenting with symptoms suggestive of nasal tumours, including how a focused history and examination should be conducted. The investigation and management of these patients is discussed, whilst referring back to details of the original case to illustrate each point.
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Authors
Francesca Neville
Department of Otolaryngology/Head and Neck Surgery
Plymouth Hospitals NHS Trust
Saif Alzahed
Department of Otolaryngology/Head and Neck Surgery
Plymouth Hospitals NHS Trust
Hisham Khalil
Department of Otolaryngology/Head and Neck Surgery
Plymouth Hospitals NHS Trust, Plymouth
University Peninsula School of Medicine, Plymouth
References
1. American Head and Neck Society. Sinonasal Malignancy/ Skull Base Surgery. http://www.ahns.info/patienteducation/docs/skullbase.php. Accessed on 07/07/2012
2. Carrou R. Malignant Tumors of The Nasal Cavity. http://emedicine. medscape.com/article/846995. Accessed on 07/07/2012
3. Lathi A, Syed M, Kalakoti P, Qutub D, Kishve S. Clinico-pathological profile of sinonasal masses: a study from a tertiary care hospital of India. Acta Otorhinolaryngol Ital. Dec 2011; 31(6): 372–377
4. Jackson R, Fitz-Hugh G, Constable W. Malignant neoplasms of the nasal cavities and paranasal sinuses: (a retrospective study.) Laryngoscope 1997; 87:726-36
5. d’Errico A, Pasian S, Baratti A, et al. A case-controlled study on occupational risk factors for sino-nasal cancer. Occup Environ Med. 2009; 66:448-55
6. Luce D, Leclere A, Begin D et al. Sinonasal cancer and occupational exposures: a pooled analysis of 12 case-control studies. Cancer Causes Control 2001; 13:147-57
7. Caplan LS, Hall I, Levine RS, Zhu K. Preventable risk factors for nasal cancer. Ann Epidemiol. 2000; 10:186-91
8. Benninger MS. The impact of cigarette smoking and environmental tobacco smoke on nasal and sinus disease: a review of the literature. Am J Rhinol. Nov-Dec 1999; 13(6):435-8
9. Jeannon JP, Riddle PJ, Irish J, O’Sullican B, Brown DH, Gullane P. Prognostic indicators in carcinoma of the nasal vestibule. Clin Otolaryngol 2007; 32(1): 19-23.
10. Vidal RW, Devaney K, Ferlito A, Rinaldo A, Carbone A. Sinonasal malignant lymphomas: a distinct clinicopathological category. Ann Otol Rhinol Laryngol. Apr 1999; 108(4):411-9
11. Patel SG, Singh B, Polluri A, et al. Craniofacial surgery for malignant skull base tumors: report of an international collaborative study. Cancer. Sep 15 2003; 98(6):1179-87
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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