Sinus Cancer Symptoms: Unilateral Nasal Congestion Could Be A Sign

2023-09-13 21:36:53

Continuous nasal congestion may be a sign of cancer! An otolaryngologist shared a case report: A man in his 50s suffered from nasal congestion on the left side of his nose for half a year. After seeking medical treatment, he was diagnosed with sinus cancer. Doctors remind you to pay attention to the symptoms of persistent unilateral nasal congestion. If there are any abnormalities, you must see a professional otolaryngology surgeon for examination so that early detection and treatment can be achieved. What are the symptoms of sinus cancer? How is it different from nasopharyngeal cancer?

Sinus cancer symptoms | Man with persistent nasal congestion seeks medical attention to reveal sinus cancer
Have you heard of sinus cancer? Otolaryngologist Chen Liangyu shared a case of sinus cancer on his Facebook page. The 50-year-old man had nasal congestion on the left side of his nose for half a year. Apart from some runny nose at night, I had no other symptoms. The man was busy at work on weekdays, and even though he had a stuffy nose, he didn’t take it seriously. He bought some medicine and took it, but unfortunately it was ineffective. In the end, the stuffy nose affected his sleep, and he was urged to seek medical attention by his family members.

Computed tomography result image of the patient. (Picture source: Dr. Chen Liangyu/Chen Liangyu Otolaryngology Clinic)

After the doctor performed an endoscopy on the man, he found that the mucosa in the left nasal cavity was intact, but the opening of the sinus was very swollen. Doctors suspected that the man may have fungal sinusitis or require surgery. After a computed tomography scan, the doctor found obvious signs of a malignant tumor. The sinus tumor was very large and there was very obvious bone erosion. After a biopsy, it was confirmed that it was a malignant tumor (squamous cell epithelial carcinoma) and he was diagnosed with sinus cancer. The man is still receiving treatment.

Sinus cancer symptoms and treatment | Doctors teach 5 ways to identify symptoms similar to those of nasopharyngeal cancer
How to identify sinus cancer? According to the Hong Kong Cancer Statistics Center of the Hospital Authority, nasopharyngeal cancer is one of the 10 most lethal cancers in Hong Kong. In an interview with “Sing Tao Toutiao”, Dr. Chen Liangyu further explained the method of distinguishing sinus cancer from nasopharyngeal cancer:

How to tell the difference between sinus cancer and the common nasopharyngeal cancer:
1. Location of onset
Sinus Cancer: Sinus
Nasopharyngeal Cancer: Nasopharynx
2. People affected by the disease
Nasopharyngeal cancer: relatively common, especially in East and South Asia
Sinus cancer: a rare cancer
3. Symptoms
Symptoms are similar: both may have nosebleeds, nasal congestion, etc.
4. Therapeutic effect
Nasopharyngeal cancer: good response to treatment and high cure rate
Sinus cancer: Because it is rare and has atypical symptoms, it is found at an advanced stage, so the prognosis (pre-estimate of the future development of the disease following onset) is poor.
5. Prevention methods
The prevention methods are the same: eat less pickled foods (nitrites), quit smoking, and reduce exposure to chemical gases
Dr. Chen uses this case to remind you that diseases that occur in the sinuses are not only sinusitis, but also sinus cancer. If you have persistent unilateral nasal congestion symptoms, you must seek examination from a professional otolaryngology and head and neck surgeon for early detection. can be treated.

Further reading: What is sinus cancer? What are the early symptoms?
According to the Kaohsiung Veterans General Hospital in Taiwan, sinus cancer is an extremely complex and difficult disease to treat. Because its early symptoms, such as unilateral nasal congestion, are very similar to common sinusitis and chronic rhinitis symptoms, it is difficult to detect early.

In addition, because the structure of the paranasal sinuses is extremely complex and they are located in the middle of the face, surgery may occasionally cause facial deformation. Therefore, patients often avoid medical treatment, delay treatment opportunities, and are often discovered at an advanced stage. These are all reasons why sinus cancer is difficult to cure. There are many types of malignant tumors in the nasal cavity and paranasal sinuses. The most common ones are various adenocarcinomas produced by epithelial cells and minor and medium salivary glands. A few include sarcomas or malignant lymphomas.

8 major symptoms of sinus cancer

Symptoms of sinus cancer include:

Bloody nasal discharge may occur intermittently. If it persists for one to two weeks, be careful and seek medical examination as soon as possible.
Facial pain and paresthesia are common symptoms.
If the face is deformed, the eyeballs are bulging or abnormal movement, diplopia, or trismus, the tumor has often become very large.
Sinus cancer rarely metastasizes to cervical lymph glands. Once metastasis occurs, it means the condition is very serious.
Further reading: 4 major causes of nasopharyngeal cancer and high risk of eating salted fish
According to the Hong Kong Department of Health, nasopharyngeal cancer is caused by abnormal growth of cells in the nasopharynx. This malignant tumor is more common in southern China, especially in Guangdong, and mostly affects men. There are four main causes of nasopharyngeal cancer:

Further reading on the 4 major causes of nasopharyngeal cancer: Methods to prevent nasopharyngeal cancer

The Hong Kong Department of Health points out that members of the public can prevent nasopharyngeal cancer through the following methods:

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