Attitude towards the patient with a nasopharyngeal mass - differences in the ENT doctor’s approach in Portugal

Authors

DOI:

https://doi.org/10.34631/sporl.1074

Keywords:

Nasopharynx, Endoscopy, Biopsy, Nasopharyngeal carcinoma

Abstract

Aim: The nasopharynx is an anatomical region where diverse tumors arise. They are mostly benign, with the most common malignant one being carcinoma, followed by lymphoma. Nasal endoscopy with biopsy is the gold-standard in the diagnosis of these lesions. The aim of this study was to evaluate the differences in each ENT doctor’s approach in two different clinical cases of patients with a nasopharyngeal mass.

Material and Methods: Release of an online questionnaire with two different cases of patients with a nasopharyngeal mass and their respective endoscopy, comprising 3 questions for each case about each individual doctor’s approach to the patient.

Results and Conclusion: Despite knowing that all suspicious lesions should be biopsied, there was no consensus in the participants of this study on the approach to these patients, neither as to what for them defines a mass as suspicious nor the timing at which they would request imaging complementary studies.

References

- Baran H, Aydın S, Elibol E. A retrospective analysis of nasopharyngeal biopsy results in adult patients. Cureus. 2021 Feb 20;13(2):e13455. doi: 10.7759/cureus.13455.

- Berkiten G, Kumral TL, Yildirim G, Uyar Y, Atar Y, Salturk Z. Eight years of clinical findings and biopsy results of nasopharyngeal pathologies in 1647 adult patients: a retrospective study. B-ENT. 2014;10(4):279-84.

- Bercin S, Yalciner G, Muderris T, Gul F, Deger HM, Kiris M. Pathologic evaluation of routine nasopharynx punch biopsy in the adult population: is it really necessary? Clin Exp Otorhinolaryngol. 2017 Sep;10(3):283-287. doi: 10.21053/ceo.2015.01256.

– Breda E. Carcinoma da nasofaringe - aspectos epidemiológicos clínicos e moleculares. [tese de doutoramento]. [Aveiro]: Universidade de Aveiro, Secção Autónoma de Ciências da Saúde; 2011. 188 p.

– Nicolai P, Schreiber A, Villaret AB. Juvenile angiofibroma: evolution of management. Int J Pediatr. 2012;2012:412545. doi: 10.1155/2012/412545.

- King AD, Vlantis AC, Bhatia KS, Zee BC, Woo JK, Tse GM. et al. Primary nasopharyngeal carcinoma: diagnostic accuracy of MR imaging versus that of endoscopy and endoscopic biopsy. Radiology. 2011 Feb;258(2):531-7. doi: 10.1148/radiol.10101241.

- Arslana N, Tuzunera A, Koycub A, Dursuna S, Hucumenogluc S. The role of nasopharyngeal examination and biopsy in the diagnosis of malignant diseases. Braz J Otorhinolaryngol. Jul-Aug 2019;85(4):481-485. doi: 10.1016/j.bjorl.2018.04.006.

- Bilici S, Yildiz M, Gokduman AR, Yigit O. Clinical appearances in patients with nasopharyngeal malignancy: retrospective analysis. KBB-Forum [Online] 2017;16(3): 76-82. Available from: http://www.kbb-forum.net/journal/uploads/pdf/pdf_KBB_378.pdf.

- Rezende RM, Silveira F, Barbosa AP, Menezes UP, Ferriani VPL, Rezende PHC. et al. Objective reduction in adenoid tissue after mometasone furoate treatment. Int J Pediatr Otorhinolaryngol. 2012 Jun;76(6):829-31. doi: 10.1016/j.ijporl.2012.02.052.

Published

2022-12-18

How to Cite

Correia de Oliveira, M., Caetano, M., Correia-Rodrigues, P., Calha, M., & Luís, L. (2022). Attitude towards the patient with a nasopharyngeal mass - differences in the ENT doctor’s approach in Portugal. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 60(4), 385–391. https://doi.org/10.34631/sporl.1074

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Section

Original Article