nasal tumor

Introduction

Introduction to nasal tumors Nasal tumors are tumors of the nasal cavity and sinuses, and malignancy is more common. Among the benign tumors, papilloma and hemangioma are many. Most of the malignant tumors are cancer, and sarcomas are rare. The main symptom of the nasal cavity and sinus papilloma is nasal congestion, and the surface of the new organism in the nose is papillary. Other benign tumors that occur in the nasal cavity include fibroids, hemangiomas, and neurofibromas, fibroids, schwannomas, and bony fibroma that occur in the sinus. The etiology of the disease is still unknown and is associated with human papillomavirus infection. Papilloma of the nasal cavity and sinus is usually surgically removed, and the base is frozen or electrocauterized. Some hemangiomas can be injected with a sclerosing agent or treated with cryotherapy. Malignant tumors are generally based on radiation and surgery combined therapy; in some cases, arterial infusion with anticancer drugs, or laser gasification, freezing, Chinese medicine and other traditional Chinese medicine. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: Nasopharyngeal carcinoma

Cause

Nasal tumor cause

The etiology of the disease is still unknown and is associated with human papillomavirus infection.

1. Embryogenic Residues: Nasal septal hemangioma occurs in embryonic maternal cells.

2. Chronic inflammation said: such as hemorrhagic polyps, can occur in vascular degeneration of granulation tissue, and some people think that the maxillary sinus cavernous hemangioma is caused by polypoid torsion, venous stasis and other nutritional disorders.

3. Trauma: The lower part of the nasal septum is susceptible to trauma, dryness, etc., and hair cell tumors are often found here, or related to trauma.

4. Endocrine: Nasal hemangioma can suddenly appear or increase during pregnancy, shrinks after delivery, and often occurs in the late pregnancy, may be related to blood circulation disorders or endocrine activities at that time.

5. A true benign tumor.

Prevention

Nasal tumor prevention

1, the diet should be light, do not take too much salt food, such as: pickled food, salted fish, sauerkraut, and canned or preservative-containing meat foods, should also try to eat as much as possible.

2, smoke, wine should be moderate.

3, the irritating smell of smoke is best to smell less, such as: mosquito coils, the smell of the tower of the gods.

4, if there are early symptoms, should be alert, especially if the neck has lymphatic swelling, for more than two weeks, you should seek medical attention as soon as possible.

Complication

Nasal tumor complications Complications, nasopharyngeal carcinoma

Complications of nasopharyngeal carcinoma are mainly manifested in the invasion of the tumor to the skull and surrounding blood vessels. And the corresponding clinical manifestations appear. Such as: vision changes. Nasopharyngeal vascular rupture and so on. These are also often common signs of nasopharyngeal cancer.

Symptom

Nasal tumor symptoms Common symptoms Nasal bleeding, tinnitus, red nose

Nose bleeding is an early symptom of this disease, which is caused by cancer infection and ulceration. Especially when you spit or snoring in the morning, you often see bloodshot sputum. As the disease progresses, it can be seen that the amount of bleeding increases, and sometimes the bleeding cannot stop. When the cancer infiltrates into the surrounding area to cause local infection or edema, it often causes obstruction of the posterior nares. At this time, the patient often presents with nasal obstruction, headache, and even tinnitus. Most of the advanced cancers destroy the skull base or invade the cranial nerves, causing persistent headaches, even with nausea and vomiting.

Early signs:

1, nasal obstruction for unknown reasons, poor ventilation. After the treatment, there is no improvement.

2, unilateral nasal cavity occurs a small amount or punctiform hemorrhage, sometimes with blood in the sputum or morning nosebleeds.

Examine

Nasal tumor examination

1. Cranial nerve test: an important part of physical examination. The doctor examines the patient's hearing, vision and other nerves, especially the function of the cranial nerves.

2, head and neck and supraclavicular lymph node examination: an important part of the physical examination. Because lymphatic metastasis of nasopharyngeal carcinoma occurs earlier and more frequently, doctors need to carefully palpate the position, size, hardness and quantity of the neck and supraclavicular lymph nodes of patients with nasopharyngeal carcinoma, and carefully record the results.

3. MRI (MRI): Images of many areas of the patient's body are taken by magnetic and radio. The image is processed by a computer.

Diagnosis

Diagnosis and identification of nasal tumors

diagnosis

Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.

Differential diagnosis

(A) adenoid proliferation: common in children, adolescents and adolescents. Nasal pharyngeal top. The pharyngeal tonsils are swollen and the mucosa is normal. When highly proliferated or surface ulceration or granulomatous formation, pay attention to cancer. A biopsy should be performed.

(B) nasopharynx inflammation: common mucosa is rough, secretions are more, the surface is uneven, most follicles proliferate to 0.2 ~ 0.3 cm size nodules, purple, sometimes orange, often with nasal mucositis, throat Inflammation, paranasal sinusitis and lymphoid tissue proliferation in the posterior pharyngeal wall were small nodules. It can be treated with heat-clearing, pharyngeal, activating blood circulation and removing blood stasis.

(C) benign tumor of the nasopharynx: rare, long course of disease, occurs in the front of the item, is rounded up or lobulated, smooth surface. Such as fibroids, fibroangioma, mixed tumors, chordoma and so on.

(D) cervical lymphadenitis: acute lymphadenitis caused by the general pathogenic bacteria 'more red, swollen, hot, pain, local temperature increased, often accompanied by oral, pharyngeal infection lesions, increased white blood cell count, neutral particles The cells are high, the lymph nodes are mild or moderately swollen, smooth, soft and soft, the tenderness is obvious, the boundary is clear, and the anti-inflammatory treatment is effective. Chronic non-specific lymphadenitis, regardless of bacterial or viral neck lymphadenopathy, local skin color is normal, body temperature is not high. The tenderness is not obvious. Often the size of soybeans or broad beans. Smooth, tough, active, and clear, often with the inflammation of the pharyngeal cavity, mouth and ear, anti-inflammatory treatment is not ideal.

(5) Nasopharyngeal tuberculosis; rare, often with nasopharynx discomfort, foreign body sensation. Increased secretions, often associated with other organ tuberculosis, such as tuberculosis.

(6) Malignant lymphoma: the incidence is more urgent, the course of disease is shorter, more common in adolescents, the lesion can affect the entire nasopharyngeal cavity, common bilateral or other lymph nodes are generally swollen, the texture is softer than metastatic lymph nodes, elastic, clinical It is often necessary to perform pathological examination for differential diagnosis.

(7) Nasopharyngeal necrotizing granuloma: characterized by a granulation-like necrotic boundary in the center of the nasopharynx. The clinical course of odor is similar to that of undifferentiated nasopharynx.

Was this article helpful?

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.