Clinical Case Database / Category: Patient Management

Sinonasal tumours

Publication details

Francesca Neville, Saif Alzahed, Hisham Khalil
Foundation Years Journal, volume 7, issue 4, p.56 (123Doc Education, London, April 2013)


This paper is a case discussion around the topic of sinonasal tumours. It is based on the case of a 62 year-old female who presented to the Head and Neck clinic with symptoms of left sided nasal obstruction and blood stained left nasal discharge. She was diagnosed with squamous cell carcinoma (SCC) of the left nasal vestibule and this was treated with surgical excision. This paper focuses on the clinical assessment of patients presenting with symptoms suggestive of nasal tumours, including how a focused history and examination should be conducted. The investigation and management of these patients is discussed, whilst referring back to details of the original case to illustrate each point.

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Francesca Neville

Department of Otolaryngology/Head and Neck Surgery
Plymouth Hospitals NHS Trust

Saif Alzahed

Department of Otolaryngology/Head and Neck Surgery
Plymouth Hospitals NHS Trust

Hisham Khalil

Department of Otolaryngology/Head and Neck Surgery
Plymouth Hospitals NHS Trust, Plymouth
University Peninsula School of Medicine, Plymouth


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10. Vidal RW, Devaney K, Ferlito A, Rinaldo A, Carbone A. Sinonasal malignant lymphomas: a distinct clinicopathological category. Ann Otol Rhinol Laryngol. Apr 1999; 108(4):411-9
11. Patel SG, Singh B, Polluri A, et al. Craniofacial surgery for malignant skull base tumors: report of an international collaborative study. Cancer. Sep 15 2003; 98(6):1179-87


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.