CORRELATION OF CLINICAL AND RADIOLOGICAL WITH POSTOPERATIVE HISTOPATHOLOGICAL DIAGNOSIS OF NASAL MASSES

Abstract

Objective:

To correlate clinical and radiological diagnosis with postoperative histopathological diagnosis of nasal masses.

Materials and Methods:

It was a prospective, comparative, longitudinal study carried out from 15th October 2007 to 14th July 2009 in Ganesh Man Singh Memorial Academy of ENT and Head &Neck Studies, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. Patients included were >12yrs with clinically diagnosed nasal masses, both gender and recurrent diseases. Every patients were subjected to CT scan and underwent surgery. The preoperative CT scans were studied for the extent and diagnosis of nasal masses by consultant radiologist. Surgeries were performed by faculties. The nasal mass specimens were sent for histopathological diagnosis and were studied by consultant pathologist. Both the clinical and radiological diagnosis was correlated with final histopathological diagnosis.

Results:

This study showed 84.0% correlation and 16.0% discrepancy between clinical and final histopathological diagnosis of nasal masses. The overall sensitivity of clinical examination in diagnosing of various nasal masses was100%, specificity 91%, accuracy 92% and P value 0.008. The comparison of radiological and final histopathological diagnosis of various nasal masses showed correlation of 84.0% and diagnosis results varied in 16.0%. The overall sensitivity of CT scan was100%, specificity 91%, accuracy 92% and P value 0.008.

Conclusion:

There is a good correlation between clinical and radiological diagnosis with that of final histopathological diagnosis of various nasal masses.

Keywords: CT scan, histopathology, Nasal masses