Rare nasal tumours in kumaon region of uttarakhand: a clinical observation.

Abstract

To review the cases of nasal mass in the Kumaon region of Uttarakhand and observe the incidence of rare nasal tumours and their atypical presentation. A prospective study conducted at ENT dept of STMF Hospital & U.F.H.T medical college at Haldwani in the Nainital district of Uttarakhand. This state has approx.ninty lacs of population out of which 50 %resides in Kumaon region. hence this should be taken as a sample study and considering the topographical condition of this region this is the only one medical college where facilities like CT Scan and MRI are available so most of the patients of this region are referred to this medical college. Cases were selected from the patients attending ENT OPD with nasal mass during the period of August 2005-Sep 2008. History and physical examination were done according to a proforma. All patients were routinely investigated. CT Scan of nose and PNS were done in each case. Biopsy along with immunohistochemistry (if required) were done in each case. Out of 160,136 patients attending the ENT OPD of the hospital during the period of August 2005-September 2008, of which total 200 (0.1241)% patients presenting with nasal mass were included in the study. Age of the patient ranged from 5 to 70years. Maximum patients were seen in the age group of 31-40 (37%) The most common symptom was nasal blockage (97.5%). The most common tumour was squamous papilloma (90%). Here we are describing the presentation and abnormal features of some of the rare nasal tumours, which comprised only 4.5% (9 cases) of the 200 patients of nasal mass seen during the period. In the Kumaon region of Uttarakhand patients with tumours of nose and paranasal sinuses usually present late to the clinician due to poverty and ignorance. Their presentation was variable and many times disease was highly advanced. If proper diagnostic facilities are available in the region, timely intervention can be done and maximum benefit can be extended to the patient.