A sinonasal neoplasm should be suspected in a patient with epistaxis if a certain


A sinonasal neoplasm may be benign or malignant.


Clinical features in early part of clinical course:

(1) recurrent epistaxis

(2) unilateral epistaxis

(3) failure to respond to conservative treatment measures

(4) asymmetrical or unilateral nasal obstruction

(5) asymmetrical or unilateral rhinorrhea

(6) asymmetrical or unilateral facial pain

(7) asymmetrical or unilateral cranial neuropathy (double vision, facial numbness, etc)


As time passes the signs and symptoms will tend to be progressive with bilateral findings.


The patient evaluation should include:

(1) endoscopic examination into accessible areas of the nares and nasopharynx

(2) examination for enlarged cervical lymph nodes

(3) CT or MRI scanning of the sinuses and nasopharynx


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