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HomeTestimonials Change of DiagnosisBreathing A Sigh Of Relief

Breathing A Sigh Of Relief

For many, undergoing a surgical procedure can be a frightening experience, even more so when it is for an unexpected diagnosis. Mr L. faced such a situation when suffering from a stuffy nose but was confronted by an unexpected prognosis, leading him to contact Medix.

Mr L., a generally healthy man in his mid-fifties had a history of Allergic Rhinitis, commonly known as hay fever. After suffering from a particularly strong episode he decided to consult an Ear, Nose and Throat (ENT) specialist.


A sinus CT scan was performed and on examination it was discovered that Mr L. was not suffering from an allergic reaction, but rather had a large nasal tumour. This led to an almost complete blockage of his left sinus, spreading further into his nasal cavity and to the back of his throat. His doctor recommended endoscopic sinus surgery under general anesthesia to excise the mass.


Mr L. made the decision to contact Medix and requested Personal Medical Case Management service to review his diagnosis and treatment strategy.

With Mr L.'s consent, Medix sent all his clinical records, including previous imaging from his CT scan to an expert radiologist and to a leading ENT specialist.

On reviewing Mr L.'s case file, the specialist consultant believed it was necessary to differentiate between the two possibilities of diagnosis. Was the mass an Antrochoanal Polyp (an overgrowth of cells within the sinuses and nasal cavity) or an Inverted Papilloma (tumours that originate in the mucosal membrane of the sinuses and nasal cavity)? Identifying the pathology would determine the treatment going forward. In order to obtain the information needed, Mr L. was recommended to first have a biopsy taken of his left sinus.

The pathology report for the biopsy was indecisive, but was suspicious for a more aggressive tumour than initially assessed on the CT scan. This result meant that a different type of surgery should be performed, and a wide margin resection was the preferred option as it was necessary to prevent a possible dangerous recurrence of the mass. A sinus MRI was then performed to delineate tumour tissue from surrounding inflammation before surgery.


The surgery was a success, and further testing identified the tumour to be Ameloblastoma, a rare tumour usually found in the mouth or jaw. Mr L. was advised to have a CT scan every six months for the next two years to confirm his tumor
did not recur.


Mr L. was very happy with the thorough review performed by Medix’ specialist, and is now confident that due to this expert advice the tumour will not return.

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