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Avatar universal

Possible tumor?

I've developed a sinus infection over 3 months ago. I had a CT scan done and then I was referred to an ENT specialist who looked at the scan and put a pipe up my nose for a quick look around (sorry don't know the name for it), after which he gave me more antibiotics (they have had no effect then, and they've still had no effect a month later).

The CT scan came with a report, that my family doctor read before he referred me but my ENT doctor did not look at as far as I know. He did look at the scans themselves though.  What has started to worry me is that I showed the report to a friend who is studying medicine and he told me that it says that there could be a tumor in there! Now neither my family doctor nor the ENT guy said nothing about that! Maybe they were trying to not worry me, or maybe they're idiots, I don't know. But I am so angry at them at the moment, I don't think I want to talk to them again for keeping things from me. I did read the document myself, but I did not understand the terminology and nobody explained it to me.

The CT scan, which is written by another doctor, says that I have a "possibility of an underlying obstructing mass lesion such as inverted papilloma and specialist referral is suggested for direct visualisation". I did not know this until my friend told me, but "inverted papilloma" is a tumor.

So the question is would the 2 minute pipe up my nose the ENT doctor did detect that? Or would that need to be a more thorough test?
Best Answer
1337001 tn?1276883841
Hi,

Relax! As you claimed your innocence in this situation, please do not get upset. Inverted papilloma is a histopathological diagnosis and not a clinical diagnosis. The pipe (nasal endoscope) was inserted inside the nose to examine the appearance of the mass if any? The area from where it is arising, status of the turbinates and to record secondary infection if any.

The incidence ranges from 0.5 % to 4 % of all primary nasal tumors and it is prevalent in the fifth and sixth decades of life. Males are 4 to 5 times more common to be affected than females. The most common presenting complaint was nasal obstruction (50%), nasal discharge (20.8%), epistaxis (16.6 %) and 4.2% of the patient presented with frontal sinusitis.

All said and done, an apt surgeon does not perform surgery until it is not manageable through medical line.

If your doctors have not informed that you are having a tumour, it is only because they did not want to commit until the histopathological examination is done. Also if you read the report carefully the radiologist has not committed either. Instead he has quoted that there is a possibility of inverted papilloma, which has to be confirmed by direct visualization and histopathological examination.

Please, do have faith in your doctors. Go back to your doctor and talk to him, also mention that you are not improving with the medicines given by him, so is there any other alternatives. Forget not, to mention about inverted papilloma also. All the best.

Regards
OHNS2010
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1337001 tn?1276883841
Hi,

It is indeed sad to know what happened to you. If you are not happy with this doctor whom you consulted, you can always look out for another good doctor in the town who is good in endoscopic sinus surgeries.

Regards
OHNS2010
Helpful - 0
Avatar universal
Yes, my gut instinct said that you were getting the "run around" and for you to move on and find another ENT Specialist; too many red flags.    

I mean, for instance, this Specialist SAW the images HIMSELF and did NOT INFORM you of what he saw and his plan of action to correct/investigate the abnormal findings.  Then he has this "bull dog" of a nurse or receptionist not allowing you to talk to him or have him call you back to talk to you.  

Hopefully, you will have better luck and I wish you all the best.      
Helpful - 0
Avatar universal
Thanks for your answers. I called up my doctor, the nurse/receptionist would not let me talk to him. She said that they do not have a copy of my report and he's never read it (I did bring it to them...). But she said he does a lot of sinus surgeries and he knows what he's doing.

I'll see if I can find another doctor.
Helpful - 0
Avatar universal
I would recommend getting a second opinion by another ENT Specialist ASAP.  

I have NO idea what the first ENT Specialist saw and can't speculate about that.  I do know I would NOT reconsult him.  

Inverted papillomas are in fact wart growths in the nasal passage.  They can be or become malignant.  
Helpful - 0
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