Nasal Tumors and Granulomatous Disease

Question 1

In adults, these findings are frequently associated with chronic sinusitis, asthma, and aspirin sensitivity

Answer 1

nasal polyps

Question 2

This is seen in patient with:

History of allergic rhinitis

History of asthma

Answer 2

nasal polyps

Question 3

In children with nasal polyps, what must be ruled out?

Answer 3

cystic fibrosis

Question 4

What are the components of Samter’s Triad?

Answer 4

Asthma
Aspirin sensitivity
Nasal polyps

Question 5

In children, what findings are most commonly associated with cystic fibrosis?

Answer 5

nasal polyps

Question 6

What is the clinical presentation of nasal polyps?

Answer 6

Nasal obstruction

Diminished sense of smell

Pale, blue, edematous masses

Question 7

Uncommon benign tumor

Presents with unilateral obstruction/epistaxis

Rhinoscopy – observe wart-like tumor

Answer 7

Nasal Papilloma

Question 8

What is a common cause of nasal papilloma?

Answer 8

HPV

Question 9

Why are we so concerned about nasal papillomas and why they must be removed?

Answer 9

Tend to undergo malignant change to SCC – early referral to
ENT important

Question 10

Highly vascular invasive neoplasm

Common in adolescent males 7-21 years

Presentation of recurrent epistaxis and nasal obstruction

Answer 10

Juvenile Angiofibroma

Question 11

What imaging is used to diagnose juvenile angiofibromas?

Answer 11

Angiography and serial MRI

Question 12

What is the most common type of malignant nasopharyngeal and paranasal sinus tumor?

Answer 12

squamous cell carcinoma

Question 13

90%, > in lungs and kidneys

Necrotizing granulomas and vasculitis seen on biopsy

Blood stained crusts and friable mucosis

Answer 13

Wegner’s Granulomatosis

Question 14

Chronic nasal/sinus inflammation

Unknown etiology

Widespread granulomatous lesions may affect any organ or
tissue

Engorged nasal cavities with small white granulomas

Answer 14

Sarcoidosis