Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion

This case report describes a unique nasal mass that was difficult to diagnose clinically and histologically. The patient was a middle-aged man employed as a metalworker, and he presented with a unilateral nasal obstruction and a mass arising from the right middle meatus. After a series of investigat...

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Main Authors: Shayan Shahidi, Abdul Nassimizadeh, Ann Sandison, Shahzada Ahmed
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/3148125
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author Shayan Shahidi
Abdul Nassimizadeh
Ann Sandison
Shahzada Ahmed
author_facet Shayan Shahidi
Abdul Nassimizadeh
Ann Sandison
Shahzada Ahmed
author_sort Shayan Shahidi
collection DOAJ
description This case report describes a unique nasal mass that was difficult to diagnose clinically and histologically. The patient was a middle-aged man employed as a metalworker, and he presented with a unilateral nasal obstruction and a mass arising from the right middle meatus. After a series of investigations, he underwent right-sided sphenoethmoidectomy with excision of a nasal lesion. The surgical specimen presented a major diagnostic challenge for the pathologists and clinicians involved. A series of discussions amongst two different head and neck expert teams combined with detailed clinicopathological correlation resulted in a diagnosis of a granulomatous lesion or pseudotumour related to the ingestion of water-soluble cutting oils, or “Suds oil,” as they are more commonly called. Although occupational exposures to certain inhalants, such as wood dust and formaldehyde, are well-known risk factors for sinonasal lesions, here we present a rare association between a sinonasal lesion and another inhalant, Suds oil, that has not been previously reported in the literature.
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spelling doaj-art-114b0b7c45b44e23ac847950ee54fcf72025-08-20T02:01:53ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/31481253148125Metal-Working Fluids Exposure and a Rare Frontoethmoid LesionShayan Shahidi0Abdul Nassimizadeh1Ann Sandison2Shahzada Ahmed3University Hospital Birmingham, Birmingham B15 2TH, UKUniversity Hospital Birmingham, Birmingham B15 2TH, UKGuys Hospital, London SE1 9RT, UKUniversity Hospital Birmingham, Birmingham B15 2TH, UKThis case report describes a unique nasal mass that was difficult to diagnose clinically and histologically. The patient was a middle-aged man employed as a metalworker, and he presented with a unilateral nasal obstruction and a mass arising from the right middle meatus. After a series of investigations, he underwent right-sided sphenoethmoidectomy with excision of a nasal lesion. The surgical specimen presented a major diagnostic challenge for the pathologists and clinicians involved. A series of discussions amongst two different head and neck expert teams combined with detailed clinicopathological correlation resulted in a diagnosis of a granulomatous lesion or pseudotumour related to the ingestion of water-soluble cutting oils, or “Suds oil,” as they are more commonly called. Although occupational exposures to certain inhalants, such as wood dust and formaldehyde, are well-known risk factors for sinonasal lesions, here we present a rare association between a sinonasal lesion and another inhalant, Suds oil, that has not been previously reported in the literature.http://dx.doi.org/10.1155/2020/3148125
spellingShingle Shayan Shahidi
Abdul Nassimizadeh
Ann Sandison
Shahzada Ahmed
Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion
Case Reports in Otolaryngology
title Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion
title_full Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion
title_fullStr Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion
title_full_unstemmed Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion
title_short Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion
title_sort metal working fluids exposure and a rare frontoethmoid lesion
url http://dx.doi.org/10.1155/2020/3148125
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AT abdulnassimizadeh metalworkingfluidsexposureandararefrontoethmoidlesion
AT annsandison metalworkingfluidsexposureandararefrontoethmoidlesion
AT shahzadaahmed metalworkingfluidsexposureandararefrontoethmoidlesion