Cancerous Nasal Polyps Treatment
Polyps are generally a projecting mass of swollen and thickened membranes. They can occur anywhere in the internal system, but are commonly found in the stomach, colon, urinary bladder, uterus, and is also known to develop in the sinus cavities.
These are benign inflammatory growths occurring in the nasal regions that can cause nasal obstruction, loss of smell/taste, recurrent infections and other sinus related symptoms like headaches, persistent sinus drainage, difficulty breathing, and even snoring.
As stated, the growth of a polyp is triggered by an inflammatory condition occurring within the sinuses. The inflammation may be triggered by a virus or bacterial infection, or allergy to certain substances. This inflammatory process leads to swelling of the nasal linings, leading to is excessive development, which eventually grows into a polyp.
While polyps are generally harmless, it could also imply the presence of cancerous growths occurring in the sinus cavities.
– Herniated brain tissue, which move away from their usual position, can present itself as sinus or nasal polyps.
– Inverted papilloma may also present as a nasal polyp. Papilloma is a wart-like growth that can happen inside the paranasal sinuses. Inverted papillomas are benign growths that can become cancerous.
– Adenocarcinoma – salivary gland cells can come to be as adenocarcinoma (originating in glandular epithelium).
– Squamous cell carcinoma – cellular tissues that line the sinus cavity can become squamous cell carcinoma (cancer of a kind of epithelial cell), which is the most common cancer type affecting the sinuses.
Diagnosing Cancerous Polyps
Several imaging tests will need to be conducted to help define the polyp type. If malignancy is suspected, a biopsy will mostly be decided on to make a more definitive diagnosis.
Treatment for Cancerous Nasal Polyps
Surgical procedures to remove the cancer are warranted to get rid of nasal polyps associated with cancerous growths occurring in the nose and paranasal sinuses. The aim of the surgery will be to remove the cancer tissues along with some of the surrounding healthy tissues, while attempting to keep their functions as normal as possible.
– Once the cancerous part is removed, its edges will be further examined under a microscope to see if they contain cancer cells. If not, it will mean that the cancer growth is completely removed. This procedure is termed as a wide local excision.
– If the cancerous growth has managed to invade deep skin tissues of the external nose, a part of the nose will need to be removed which can later be reconstructed using skin tissues from the face or other less visible areas.
– Open surgeries like ethmoidectomy and maxillectomy may also be required depending on the location of the tumor growths. These are extensive procedures which sometimes may need the removal of some bone parts which can be rebuilt later.
– However, endoscopic procedures are more in use now to remove cancerous tumors involving the sinus cavities, since these are less invasive. Such procedures reduce the amount of normal tissues being destroyed, for the endoscope provides more visibility of the tumor areas. However, this will need to be performed by well-trained and experienced surgeons to achieve success.
To prevent the recurrence of polyps, it is important to keep inflammatory conditions affecting the sinus cavities under check. This is possible with the use of nasal sprays or drops or even medications, used either alone or in combination, to keep the growth of polyps under good control. Cancerous growths in nasal cavities need not always mean the end of life. When detected, be it at any stage, these can be effectively eliminated with proper treatment and care.