Metastatic nose and paranasal sinus masses – A case series

Latha CS, Begum N, Amaranth SB, Brunda CP, Rao IS, Subrahmanyam C

Pdf Page Numbers :- 179-184

Chinnabathini Sneha Latha¹, Nazeema Begum¹, Amaranth SB², Pavani Brunda C³, Satish Rao I⁴ and Subrahmanyam C^1,*

¹Department of Otorhinolaryngology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

²Department of Otorhinolaryngology, SVIMS-Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh, India

³All India Institute of Medical Sciences Bibi Nagar, Hyderabad, Telangana, India

⁴Department of Pathology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. C. Subhramanyam, MS., ENT (PGI, Chandigarh), Consultant Surgeon, Department of Otorhinolaryngology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: drcsubrahmanyam@gmail.com.

Received 22 January 2024; Revised 19 March 2024; Accepted 23 March 2024; Published 29 March 2024

Citation: Latha CS, Begum N, Amaranth SB, Brunda CP, Rao IS, Subrahmanyam C. Metastatic nose and paranasal sinus masses – A case series. J Med Sci Res. 2024; 12(2):179-184. DOI: http://dx.doi.org/10.17727/JMSR.2024/12-34

Copyright: © 2024 Latha CS et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Metastases to the nose and paranasal sinuses are unusual. These tumors are commonly seen in the 4th to 6th decades of life. The clinical presentation may be analogous to that of primary sino-nasal tumors. They usually present with common nasal and ocular symptoms due to which diagnosis may be missed and delayed. Hence, high level of suspicion is necessary for patients with known malignancies presenting with inconsistent or repeated nasal and ocular symptoms. Otorhinolaryngologists should be familiar with these metastases to paranasal sinuses from unusual primary elsewhere in the body, to evaluate and manage these tumors. Retrospective data was collected from the hospital records from 2020-2023. A total 14 cases of sino-nasal malignancies were identified. On further analysis three cases were found to be having distant metastases from primary sites such as kidney, breast and lymph nodes. We are reporting three metastatic malignancies. Each was systematically evaluated, confirming their origin as metastases from other primary sites. They were then managed appropriately.

Keywords: metastases; paranasal sinuses, renal cell carcinoma; breast carcinoma; non-Hodgkin’s lymphoma; sinus surgery