The document discusses various tumors of the nasal cavity, classifying them into benign and malignant types. It highlights common benign tumors such as squamous papilloma and inverted papilloma, as well as malignant tumors like squamous cell carcinoma and melanoma, detailing their characteristics, clinical presentations, and treatment options. Diagnosis often involves imaging techniques and biopsies to confirm the type and extent of the tumors.

1. Tumors of nasal cavity
By – Priyanka ( MBBS Student )

2. 
 Benign
 Squamous Papilloma
 Inverted Papilloma
 Pleomorphic Adenoma
 Schwannoma
 Meningioma
 Haemangioma
 Chondroma
 Angiofibroma
 Encephalocele
 Glioma
 Dermoid
 Malignant
 Squamous cell & Adenocarcinoma
 Malignant Melanoma
 Olfactory neuroblastoma
 Haemangiopericytoma
 Lymphoma
 Solitary plasmacytoma
 Various sarcomas
Classification

3.  Most common
 Benign
 40-70 years old
 Male preponderance
 Unilateral, friable, pinkish, translucent , edematous
 Lateral wall of nose
 CF- unilateral progressive nasal obstruction & symptoms more due to coincident sinusitis
 Usually pain absent
 Diagnosis-
Punch biopsy which shows transitional epithelium lining with inward invagination pf hyperplastic epithelium into
stroma
PNS Xray – may show thinning of bony walls d/t pressure effect
CECT scan PNS - show nasal mass with opacification of maxillary and ethmoid sinus
( AFRICAN CONTINENT Sign )
 Treatment includes wide surgical excision by lateral rhinotomy or medial maxillectomy & en block ethmoidectomy
( Risk of Malignancy Present)
Inverted Papilloma

4.  Are 2 types
 Capillary & Cavernous
 Capillary haemangioma-
 Also called Bleeding Polypus of the Septum.
 Arise from anterior part of nasal septum
 Soft, dark red, pedunculated/ sessile mass
 CF- nasal obstruction, recurrent epistaxis d/t ulceration
 Treatment – Local excision with a cuff of surrounding mucoperichondrium
 Cavernous Haemangioma-
 Arise from turbinate
 Treatment- surgical excision with preliminary cryotherapy
surgical excision with radiotherapy
Haemangioma

5.  May arise from
 Lateral Wall-
 Most common site, present as polypoid mass.
 Extends into ethmoid & maxillary sinus
 T/t- surgery + radiation therapy
 Vestibule
 Arise from lateral wall of nasal vestibule & extend to columella, nasal floor &
upper lip.
 Metastasis to parotid nodes
 Septum ( anterior part)
 Arise from mucocutaneous junction
 Nose picker’s cancer- with burning & soreness in nose
Squamous Cell Carcinoma

6. 
 Arise from glands of Mucus Membrane or minor
salivary glands
 Involving upper part of lateral wall.
Adenocarcinoma
&
Adenoid Cystic Carcinoma