Nasal cavity and paranasal sinus cancer

What is nasal cavity and paranasal sinus cancer?
Nasal cavity and paranasal sinus cancer is a type of head and neck cancer that affects the nose and paranasal sinuses. Paranasal sinuses are air-filled spaces in the skull around the nose that are lined with cells that produce mucus.

What causes nasal cavity and paranasal sinus cancer?
It’s not clear what exactly causes this type of cancer but several factors have been identified that increase the risk of developing it:
• Smoking tobacco products such as cigarettes, cigars, and shisha (water pipe). Heavy smokers are most at risk
• Being exposed to certain workplace chemicals or dust, such as those found in the following jobs:
              o Furniture-making
              o Sawmill work
              o Woodworking (carpentry)
              o Shoemaking
              o Metal-plating
              o Flour mill or bakery work*
• Being infected with human papillomavirus (HPV)
 
Having one or more of these risk factors does not mean that a person will definitely get nasal cavity and paranasal sinus cancer but can increase their chances of developing it.

What are the symptoms of nasal cavity and paranasal cancer?
• Headaches
• Pain or pressure in the sinus areas
• Pain or pressure in the ear
• Nosebleeds
• Lumps on the face or inside the nose or mouth
• Pain in the teeth, or loose teeth
• Runny nose

How is nasal cavity and paranasal sinus cancer diagnosed?
In order to accurately diagnose and stage nasal cavity and paranasal sinus cancer, your physician may order the following tests:
• MRI scan to get a complete image of your head and neck to determine whether there are any tumors or abnormal cells
• PET scan to find any malignant cancer cells
• CT scan to get a complete image of your head and neck to determine whether there are any tumors or abnormal cells
• Fiber-optic  endoscopy for upper airway
• Nasal endoscopy which is a small tube with a camera that is inserted into the nose to look for any signs of cancer
• Biopsy to remove any tissue from the nose or sinuses and examine closely under a microscope for any abnormalities
• Chest x-ray to detect any spread of the tumor to the lungs
• Head and neck x-rays

How is nasal cavity and paranasal sinus cancer treated at KHCC?
The treating physician will present the case to the MDC panel who will determine the right treatment for the patient depending on how much the cancer has spread throughout the body.

At KHCC, the treatment plan for nasal cavity and paranasal sinus cancer depends on many factors, such as the patient’s age, and the stage of the disease as well as the size of the tumor. Typically, treatment includes varying degrees of surgery, radiotherapy and some chemotherapy.

Physicians
At KHCC, nasal cavity and paranasal sinus cancer patients receive top quality care through a multidisciplinary team of head and neck cancer specialists that is entirely devoted to diagnosing and treating cancers of the head and neck.

Supportive Care
The Head and Neck multidisciplinary clinic works in close cooperation with other departments at KHCC so that nasal cavity and paranasal sinus cancer patients receive the most comprehensive care possible. Supportive care services at KHCC include: