Metal-Working Fluids Exposure and a Rare Frontoethmoid Lesion. (24th August 2020)

• Record Type: Journal Article
• Authors: Shahidi, Shayan; Nassimizadeh, Abdul; Sandison, Ann; Ahmed, Shahzada
• Other Names: Jiang Rong-San Academic Editor.
• Is Part Of: Case reports in otolaryngology. Volume 2020(2020)
• Publication Date: 2020-08-24
• Subjects: Otolaryngology -- Periodicals; Otolaryngology -- Case studies -- Periodicals; Otolaryngology; Otorhinolaryngologic Diseases; Otolaryngology; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.51
• DOI: 10.1155/2020/3148125
• Languages: English
• ISSNs: 2090-6765

Abstract

Abstract : 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.