Adenoma - of the nasal cavity is a benign tumor of the epithelial tissue.

Author: Dr. İsmayıl İ. Category: Nose

Published:  2022 - 29 - Sep

Adenoma of the nasal cavity is a benign tumor of the epithelial tissue. Most often localized in the anterior ends of the lower and middle turbinates, in the ethmoid and maxillary sinuses. It has expansive growth, spreading into the nasal cavity and neighboring areas.

Adenomas of the medial wall of the nose grow slowly, benignly, and the lateral wall - rapidly, as they grow, they destroy the bone walls, relatively quickly grow into the paranasal sinuses, are accompanied by spontaneous bleeding and often become malignant.

Microscopically, it is built from atypical mucous glands lined with columnar or cuboidal epithelium, with a high content of goblet cells.
Adenomas of the medial wall of the nose grow slowly, benignly, and the lateral wall - rapidly, as they grow, destroy the bone walls relatively quickly grow into the paranasal sinuses, are accompanied by spontaneous bleeding and often become malignant.

Clinic:
- in the early stages, the tumor does not manifest itself in any way, complaints appear as the tumor grows (nasal congestion, signs of rionsinusitis). These complaints are associated with secondary inflammatory processes in the sinuses;
- at rhinoscopy, the tumor has the appearance of a dense encapsulated node on a broad base of grayish or brown color, with a smooth surface, covered with a thickened mucous membrane;
- in advanced cases, bleeding is possible;

Diagnostics:
- complaints (at an early stage, complaints are scarce)
- objective rhinoscopy picture
- data of instrumental examination (endoscopy)
- X-ray data (CT, MRI)
- histological examination data

Surgical treatment
With the help of instruments for endoscopic surgery, a radio wave knife, and always with the use of endoscopic techniques, the tumor must be completely removed and sent for histological examination.