Consensus Guidance May Improve Sinonasal Mass Outcomes

Multidisciplinary recommendations emphasize biopsy technique, imaging, and pathology review in patients with suspected sinonasal malignancy.

Category	Detail
Condition	Sinonasal masses
Key Mechanisms	Avoiding biopsy and management pitfalls to improve diagnosis and treatment outcomes.
Target Population	Patients with unilateral nasal obstruction, epistaxis, cranial neuropathy, facial numbness, or visual disturbances.
Care Setting	Multidisciplinary clinical settings involving rhinology, head and neck surgery, and oncology.

Consensus on avoiding complete excisional biopsy without permanent pathologic diagnosis.
Endoscopic endonasal biopsy is preferred for tissue sampling.
Imaging recommended prior to biopsy when encephalocele is suspected.
Pathology review by sinonasal experts is crucial for accurate diagnosis.
Permanent tissue diagnosis required before treatment planning for high-risk procedures.

Avoid office biopsy of vascular-appearing unilateral nasal masses in adolescent males.
Consider imaging of neck, chest, abdomen, and pelvis for metastatic disease in diagnosed malignancies.

Review by pathologists with sinonasal expertise and consider second-opinion reviews.

Patients with sinonasal masses, particularly those with malignancy suspicion.

Minimally invasive approaches are preferred to reduce risks.

Clinical Scorecard: Consensus Guidance May Improve Sinonasal Mass Outcomes