Understanding Nasal and Sinus Cancer

A Comprehensive Guide for Patients

Oncology

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Last updated: Mar 24, 2025

What is Nasal and Sinus Cancer?

Nasal and sinus cancer is a rare type of cancer that begins in the nasal cavity or paranasal sinuses - the air-filled spaces surrounding the nose.

Key Facts

  • Affects approximately 2,000 people annually in the United States
  • More common in people over 45 years old
  • Men are slightly more affected than women

Risk Factors

  • Occupational exposure to:
    • Wood dust
    • Leather dust
    • Nickel and chromium compounds
  • Lifestyle factors:
    • Smoking
    • Heavy alcohol consumption
  • Previous radiation exposure to the head or neck
  • Human papillomavirus (HPV) infection

Common Symptoms

Early Signs:

  • Persistent nasal congestion
  • Recurring nosebleeds
  • Decreased sense of smell
  • Post-nasal drip

Advanced Signs:

  • Facial pain or numbness
  • Swelling around the eyes
  • Visual changes
  • Loose teeth or dental problems

Diagnosis

  1. Physical examination
  2. Imaging tests:
    • CT scan
    • MRI
    • PET scan
  3. Biopsy

Treatment Options

Primary Treatments

  • Surgery
  • Radiation therapy
  • Chemotherapy

Additional Therapies

  • Targeted therapy
  • Immunotherapy
  • Supportive care

Prognosis

Prognosis varies depending on:

  • Cancer stage at diagnosis
  • Location and extent of tumor
  • Patient's overall health
  • Response to treatment

Follow-up Care

  • Regular check-ups
  • Imaging scans
  • Management of treatment side effects
  • Rehabilitation services as needed

Prevention

  • Avoid known risk factors
  • Use protective equipment in high-risk occupations
  • Regular medical check-ups
  • Prompt investigation of persistent symptoms

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