Release date: 2008-01-08
Early Signs of Nasal Tumors in Children Are Often Unusual A recent study from the Massachusetts Eye and Ear Hospital highlights that early symptoms of childhood nasal tumors are frequently atypical, making diagnosis more challenging. One such rare tumor is nasal glioma, also known as esthesioneuroblastoma, which often presents with subtle or misleading signs. These tumors can spread to the neck lymph nodes and other areas even in the early stages. Benoit and colleagues analyzed data from 16 children aged 7 months to 17 years who were diagnosed with nasal malignancies between 1991 and 2006. The research used national databases to gather information on these cases. The most common symptoms reported were unilateral nosebleeds and eye discomfort, with an average time to diagnosis of about seven weeks. When symptoms were not typical—such as nasal congestion, headaches, or fatigue—the delay in diagnosis was longer. The most frequently diagnosed type was rhabdomyosarcoma, accounting for 37.5% of cases, compared to 23% nationally. Nasal glioma followed closely at 25%, slightly below the national average of 28%. The average survival time for these patients was 188 months. Researchers emphasize the importance of early detection, especially in cases where symptoms don’t match the usual patterns. They recommend a high index of suspicion for soft tissue tumors like nasal glioma, as timely intervention can significantly improve outcomes. This study underscores the need for increased awareness among clinicians when dealing with unusual presentations in pediatric nasal tumors. ——Midi Medical Network
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