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ENT > Tumors of Nasopharynx > Flashcards

Tumors of Nasopharynx Flashcards

1
Q

Squamous Papilloma features

A

Warts like lesion
Arise in the lower part of the nasal septum or vestibule
Treated by excision with cauterization/ cryosurgery or laser

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2
Q

Inverted Papilloma is AKA

A

Transitional cell papilloma
Ringertz tumor
Schneiderian papilloma

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3
Q

Inverted papilloma arise from

A

non olfactory membrane of nose (Schneiderian membrane)
Lateral wall of the nose

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4
Q

Features of Inverted papilloma

A

Age 40-70
Men
Obstruction, Epistaxis and nasal discharge

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5
Q

What is the dx and tx of Inverted papilloma

A

CT
MRI
Biopsy
Medial Maxillectomy

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6
Q

Characteristics of Schwannoma

A

Tumor of Schwann cells
Yellowish mass with blood vessels visible
Pressure necrosis of the area

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7
Q

Dx of Schwannoma

A

Biopsy
CT or MRI to check the extent

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8
Q

Tx of Schwannoma

A

Surgical excision

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9
Q

Capillary hemangioma is also known as _____________

A

bleeding polypus of the nose

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10
Q

Characteristics of capillary hemangioma

A

grows from the anterior part of the septum
may become ulcerated and bleed

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11
Q

Tx of capillary hemangioma

A

local excision with a cuff of mucoperichondrium

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12
Q

Characteristics of cavernous hemangioma

A

Arise from the lateral wall of the nose (turbinates)
Surgically excised or cryotherapy

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13
Q

____________ have tendency to become malignant

A

Chondroma

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14
Q

Characteristics of Intranasal meningoencephalocele

A

Herniation of meninges and brain tissue through foramen cecum or cribriform plate
In infants or young children
The mass size increase on crying or straining
If mistakenly avulsed, it can cause CSF rhinorrhea or meningitis

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15
Q

Dx of intranasal meningoencephalocele

A

CT scan to check a defect in the base of the skull

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16
Q

Tx of intranasal meningoencephalocele

A

Frontal craniotomy severing the stalk from the brain
Repair of the defect in bone and dura
Then remove the intracranial mass

17
Q

Gliomas can present as __________

A

a firm polyp

18
Q

How does a patient with nasal dermoid present?

A

Widening of the upper part of the nasal septum with splaying of nasal bones and hypertelorism

19
Q

Squamous cell carcinoma might originate from

A

Lateral wall (most common)
Septal
Vestibular

20
Q

Malignant melanoma characteristics

A

Slate gray or bluish blue polypoid mass
Excision, Radio and Chemotherapy

ENT (12 decks)

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