How do you get rid of paranasal sinus tumors? How to treat paranasal sinus tumors? Let’s find out about paranasal sinus tumors symptoms and treatment!
Table of Contents
Paranasal Sinus Tumors Definition
Paranasal sinus tumors meaning – What are paranasal sinus tumors? Paranasal sinus tumor is a cancer that has grown in the open spaces behind your nose, called sinuses.
Paranasal Sinus Tumors Causes
What causes paranasal sinus tumors? Malignant tumors of the nose, nasopharynx, and paranasal sinuses are rare. Still, they can be very troublesome because they often don’t cause any symptoms until too late.
Most cancers in the sinuses and nasopharynx are squamous cell carcinomas. It often happens in the nasopharynx, where it blocks the eustachian tube and causes a middle ear infection.
Nasopharyngeal carcinoma, also called nonkeratinizing squamous cell carcinoma or lymphoepithelioma, is often linked to a high level of IgA antibody to the Epstein-Barr virus capsid antigen (EBV).
It is most common in people with southern Chinese roots, and smoking isn’t as strongly linked to it as it is with other head and neck squamous cell carcinomas. Less common tumors in this area are adenocarcinomas, mucosal melanomas, sarcomas, and non-Hodgkin lymphomas.
Paranasal Sinus Tumors Diagnosis
Paranasal Sinus Tumors Symptoms
Signs and symptoms of paranasal sinus tumors: Early signs aren’t very clear and can look like rhinitis or sinusitis. Pain and recurrent bleeding are often signs of cancer. A blocked nose on one side, middle ear infection, and discharge are also common. Nasal endoscopy and a nasopharyngoscopy should be done on any adult with persistent one-sided nasal symptoms or a new case of otitis media.
A high level of suspicion is still needed to find these tumors early. Patients often come in with advanced symptoms, such as a slanted eye, a swollen cheek, or maxillary dentures that don’t fit well. Due to the involvement of the infraorbital nerve, maxillary sinus tumors often cause malar hypesthesia. For a definitive diagnosis, a biopsy is needed, and MRI is the best imaging study to find out how bad the disease is and plan the right surgery and radiation.
Paranasal Sinus Tumors Treatment and Management
Treatment of paranasal sinus tumors – What is the best treatment for paranasal sinus tumors?
Treatment depends on the type of tumor and how far the disease has spread. Megavoltage radiation therapy can be used to treat very early-stage diseases independently. Still, the best way to treat advanced nasopharyngeal carcinoma is with radiation and cisplatin simultaneously, followed by chemotherapy with cisplatin and fluorouracil.
This chemoradiation therapy protocol reduces local, lymph node, and distant failures by a large amount. It increases progression-free survival and overall survival in patients with advanced disease. Locally recurrent nasopharyngeal cancer may be treated with repeat irradiation protocols or surgery in some cases, with only moderate success and a lot of worry about how the wound will heal.
When possible, the best way to treat other squamous cell carcinomas is by combining surgery and radiation. Cranial base surgery, which can be done endoscopically with the help of image navigation, seems to be a good way to improve the overall prognosis for people with paranasal sinus cancers that are eating away at the roof of the ethmoid.
Even though the outlook for advanced tumors is not good, the results of treating resectable tumors that start in the paranasal sinuses have improved as skull base resections, and intensity-modulated radiation therapy has been used more. Usually, 45–60% of people get better.
I hope you understand paranasal sinus tumor symptoms and treatment guidelines.