Advanced symptoms of rhinitis squamous cell carcinoma?

summary

Malignant tumors in the nasal cavity and paranasal sinuses are more common than those in the nasal cavity, especially in the maxillary sinus, which can be as high as 60% - 80%, followed by the ethmoid sinus, accounting for 3.8%. Only 2.5% of the patients had primary tumors in frontal sinus, while sphenoid sinus tumors were rare. Advanced symptoms of rhinitis squamous cell carcinoma? Let's talk about it

Advanced symptoms of rhinitis squamous cell carcinoma?

The clinical symptoms of patients with malignant tumors of the nose and paranasal sinuses generally appear later. In the early stage, the primary tumor in the paranasal sinuses has no characteristic symptoms. Once the tumor goes beyond the sinus cavity and invades the adjacent organs, its manifestations are very complex.

Early patients often have unilateral progressive nasal congestion, bloody nose, malodorous purulent nose or flesh colored watery nose. May have head distension, headache, olfactory decline or loss. In the late stage, because the tumor invaded the paranasal sinus and orbit, the symptoms of paranasal sinus malignant tumor were presented.

The distance between the anterior and posterior bone walls of the frontal sinus is very small, and the posterior bone wall is thin, sometimes showing a natural defect. Primary malignant tumors of frontal sinus are rare and asymptomatic in early stage. After tumor development, there may be local swelling and pain, numbness and epistaxis. When the tumor develops outward and downward, it can cause the forehead and the inner edge of the orbit to bulge, the eyeball to move downward, outward and forward, and there can be exophthalmos and diplopia. The above signs should be suspected of intracranial expansion of the tumor.

matters needing attention

Radical radiotherapy alone can only be used for radiation sensitive malignant tumors, such as sarcoma and undifferentiated carcinoma, but the curative effect is not completely satisfactory. It can only be used as a single palliative radiotherapy for patients who can not be cured in the late stage. Postoperative recurrence can also be treated with radiotherapy. In view of the general situation of postoperative patients is not as good as that of preoperative, preoperative radiotherapy is advocated to make the blood vessels and lymphatic vessels around the tumor occluded, reduce the tumor size and reduce the chance of dissemination.