Cargando…

Tumours of Nasal Septum: A Retrospective Study of 32 Patients

Objective: Tumours of the nasal septum are a rare and heterogeneous group of lesions in the sinonasal tract. The management of the different lesions of this site is debated. The aim of this study is to share our experience on a rare clinical condition and stimulate other centres to publish theirs. M...

Descripción completa

Detalles Bibliográficos
Autores principales: Sireci, Federico, Dispenza, Francesco, Lorusso, Francesco, Immordino, Angelo, Immordino, Palmira, Gallina, Salvatore, Peretti, Giorgio, Canevari, Frank Rikki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834888/
https://www.ncbi.nlm.nih.gov/pubmed/35162736
http://dx.doi.org/10.3390/ijerph19031713
_version_ 1784649294333083648
author Sireci, Federico
Dispenza, Francesco
Lorusso, Francesco
Immordino, Angelo
Immordino, Palmira
Gallina, Salvatore
Peretti, Giorgio
Canevari, Frank Rikki
author_facet Sireci, Federico
Dispenza, Francesco
Lorusso, Francesco
Immordino, Angelo
Immordino, Palmira
Gallina, Salvatore
Peretti, Giorgio
Canevari, Frank Rikki
author_sort Sireci, Federico
collection PubMed
description Objective: Tumours of the nasal septum are a rare and heterogeneous group of lesions in the sinonasal tract. The management of the different lesions of this site is debated. The aim of this study is to share our experience on a rare clinical condition and stimulate other centres to publish theirs. Methods: We retrospectively analysed the databases of sinonasal tumours treated at the Sections of Otolaryngology (ENT) of two University Hospitals (Palermo and Genova) between 2012 and 2020. Results: From the two databases, a cohort of 32 patients with tumours of nasal septum were selected. All patients underwent an endoscopic examination. Large tumours underwent preoperative computed tomography (CT) scan without contrast medium. In 22 (68.7%) cases, the preoperative radiologic evaluation also included magnetic resonance imaging (MRI) with gadolinium to obtain a better differentiation of the lesions and study the vascular pattern. All the large lesions were biopsied under endoscopic guidance using local anaesthesia; the same approach was used to remove the tumours and their attachment with safe resection margins. Conclusions: While malignant lesions require an excision of the mass with resection of all layers of the nasal septum, benign lesions must be typed according to histological considerations in order to plan the most appropriate type of surgical resection.
format Online
Article
Text
id pubmed-8834888
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-88348882022-02-12 Tumours of Nasal Septum: A Retrospective Study of 32 Patients Sireci, Federico Dispenza, Francesco Lorusso, Francesco Immordino, Angelo Immordino, Palmira Gallina, Salvatore Peretti, Giorgio Canevari, Frank Rikki Int J Environ Res Public Health Article Objective: Tumours of the nasal septum are a rare and heterogeneous group of lesions in the sinonasal tract. The management of the different lesions of this site is debated. The aim of this study is to share our experience on a rare clinical condition and stimulate other centres to publish theirs. Methods: We retrospectively analysed the databases of sinonasal tumours treated at the Sections of Otolaryngology (ENT) of two University Hospitals (Palermo and Genova) between 2012 and 2020. Results: From the two databases, a cohort of 32 patients with tumours of nasal septum were selected. All patients underwent an endoscopic examination. Large tumours underwent preoperative computed tomography (CT) scan without contrast medium. In 22 (68.7%) cases, the preoperative radiologic evaluation also included magnetic resonance imaging (MRI) with gadolinium to obtain a better differentiation of the lesions and study the vascular pattern. All the large lesions were biopsied under endoscopic guidance using local anaesthesia; the same approach was used to remove the tumours and their attachment with safe resection margins. Conclusions: While malignant lesions require an excision of the mass with resection of all layers of the nasal septum, benign lesions must be typed according to histological considerations in order to plan the most appropriate type of surgical resection. MDPI 2022-02-02 /pmc/articles/PMC8834888/ /pubmed/35162736 http://dx.doi.org/10.3390/ijerph19031713 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sireci, Federico
Dispenza, Francesco
Lorusso, Francesco
Immordino, Angelo
Immordino, Palmira
Gallina, Salvatore
Peretti, Giorgio
Canevari, Frank Rikki
Tumours of Nasal Septum: A Retrospective Study of 32 Patients
title Tumours of Nasal Septum: A Retrospective Study of 32 Patients
title_full Tumours of Nasal Septum: A Retrospective Study of 32 Patients
title_fullStr Tumours of Nasal Septum: A Retrospective Study of 32 Patients
title_full_unstemmed Tumours of Nasal Septum: A Retrospective Study of 32 Patients
title_short Tumours of Nasal Septum: A Retrospective Study of 32 Patients
title_sort tumours of nasal septum: a retrospective study of 32 patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834888/
https://www.ncbi.nlm.nih.gov/pubmed/35162736
http://dx.doi.org/10.3390/ijerph19031713
work_keys_str_mv AT sirecifederico tumoursofnasalseptumaretrospectivestudyof32patients
AT dispenzafrancesco tumoursofnasalseptumaretrospectivestudyof32patients
AT lorussofrancesco tumoursofnasalseptumaretrospectivestudyof32patients
AT immordinoangelo tumoursofnasalseptumaretrospectivestudyof32patients
AT immordinopalmira tumoursofnasalseptumaretrospectivestudyof32patients
AT gallinasalvatore tumoursofnasalseptumaretrospectivestudyof32patients
AT perettigiorgio tumoursofnasalseptumaretrospectivestudyof32patients
AT canevarifrankrikki tumoursofnasalseptumaretrospectivestudyof32patients