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Sinonasal cancer — DOccMed MCQ

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HardOccupational CancerSinonasal cancerDOccMed

A joiner has progressive nasal obstruction and intermittent epistaxis after 25 years working with hardwood dust. Examination shows a unilateral nasal mass. What is the most likely occupational diagnosis?

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Correct answer: B — Sinonasal cancer associated with hardwood dust exposure

Unilateral nasal obstruction and bleeding require urgent ENT assessment, particularly with prolonged hardwood dust exposure. Hardwood dust is associated with sinonasal adenocarcinoma. Occupational history is important for exposure control, co-worker risk and compensation advice.

Reference: HSE Wood Dust Guidance; IIDB Prescribed Diseases