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Cavada MN, Roshan DJ, Lodhia CA, Sacks R. The inverted papilloma arising from the cribriform plate of the ethmoid bone. ANZ J Surg 2023; 93:707-709. [PMID: 35801951 DOI: 10.1111/ans.17900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 06/21/2022] [Accepted: 06/25/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Marina Neves Cavada
- Department of Otolaryngology - Head and Neck Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - David James Roshan
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Chetan Ashok Lodhia
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
- Department of Otolaryngology-Head and Neck Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Raymond Sacks
- Department of Otolaryngology - Head and Neck Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
- Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia
- Department of Otolaryngology, Concord General Hospital, Sydney, New South Wales, Australia
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Hsu HJ, Huang CC, Chuang MT, Tien CH, Lee JS, Lee PH. Recurrent inverted papilloma coexisted with skull base lymphoma: A case report. World J Clin Cases 2021; 9:516-520. [PMID: 33521124 PMCID: PMC7812879 DOI: 10.12998/wjcc.v9.i2.516] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 11/26/2020] [Accepted: 12/06/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Inverted papilloma is an uncommon neoplasm in the nasal cavity. It is a histologically benign tumor, but has a high recurrence and local invasion rate. In addition, nasal or skull base lymphoma is another rare neoplasm. The coexistence of these two tumors in one case makes the diagnosis and related treatment difficult.
CASE SUMMARY We report a case of an immunocompetent patient, who had a history of inverted papilloma 20 years ago. The patient presented with an infiltrated mass lesion in the nasal cavity with extension to the frontal base. The repeated biopsies revealed inverted papilloma without any malignant transformation. After the patient underwent a frontobasal craniotomy with total tumor excision, the final pathological examination revealed nasal inverted papilloma coexisting with diffuse large B-cell lymphoma of the skull base.
CONCLUSION Based on this case report, while managing a case of an aggressive recurrent inverted papilloma, not only squamous cell carcinoma transformation, but also other invasive malignancy, such as lymphoma, should be considered.
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Affiliation(s)
- Heng Juei Hsu
- Section of Neurosurgery, Department of Surgery, Tainan Sin Lau Hospital, Tainan 70144, Taiwan
| | - Chi Chen Huang
- Section of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
| | - Ming Tsung Chuang
- Department of Medical Imaging, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
| | - Chih Hao Tien
- Section of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
| | - Jung Shun Lee
- Section of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
- Department of Cell Biology and Anatomy, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan
| | - Po-Hsuan Lee
- Section of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
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Eid M, Eissa L. Imaging of sino-nasal inverted papilloma: How can we emphasize the usefulness of the “striated pattern” sign? THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2020. [DOI: 10.1186/s43055-020-0134-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Inverted papilloma (IP) is an uncommon sino-nasal neoplasm with potentially distinctive MRI and CT features. The MR “striated” imaging pattern has been reported as a valuable MR imaging feature of IP. The purpose of this study was to validate the usefulness of this sign using detailed criteria of the sign itself.
Results
All imaging findings were described for 16 patients in descriptive pattern. The nasal involvement showed highest prevalence followed by the maxillary sinus. The bony changes include remodeling and defects (n = 6), remodeling only (n = 4), and None (n = 6). Changes were severe 1/10, moderate in 3/10, and mild 5/10. Focal hyperostosis was seen in six. A striated pattern was “diffuse” in all 16 (100%) of the IPs; it followed a certain direction in all 16 patients: divergent (n = 6), convoluted (n = 2), and parallel (n = 8). Divergent growth from focal hyperostosis was seen (n = 4). Visibility of the sign was superior in T2 images (n = 11), superior in enhanced images (n = 3), and equal in both (n = 2).
Conclusions
The striated pattern is a reliable MR imaging feature of sino-nasal IPs. Validity and usefulness of this sign can be emphasized by defining parameters of the signs itself including the following: diffusivity, direction of striations and relation to hyperostosis, and comparing visibility in both T2 and GAD-enhanced images, as well as combining this imaging signature with remolding bony changes < 1.5.
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Sham CL, van Hasselt CA, Chow SMW, Lee DLY, Cho RHW, Woo JKS, Tong MCF. Frontal inverted papillomas: A 25-year study. Laryngoscope 2019; 130:1622-1628. [PMID: 31418865 PMCID: PMC7318241 DOI: 10.1002/lary.28245] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Revised: 07/17/2019] [Accepted: 07/31/2019] [Indexed: 12/19/2022]
Abstract
Objectives/Hypothesis This study analyzes the treatment outcomes of frontal inverted papillomas (FIPs) in an attempt to provide guidelines for surgery selection. Study Design Retrospective case series. Methods The treatment results of 29 FIPs classified into five categories were retrospectively analyzed. The five categories are F1, tumor prolapsed into frontal sinus, tumor origin outside frontal sinus; F2, tumor origin inside frontal sinus, medial to the plane of lamina papyracea; F3, tumor origin inside frontal sinus, lateral to the plane of lamina papyracea; F4, bilateral; and F5, extrasinonasal. Results Of the 11 F1 cases, 73% had Draf I and 27% had Draf IIA procedures. There was one (9%) frontal recurrence and one (9%) frontal stenosis. Of the 10 F2 cases, 10% had Draf I, 40% had Draf IIA, 40% had Draf IIB, and 10% had Draf III surgery with a trephination. One patient (10%) had a frontal recurrence. Of the five F3 cases, 40% had Draf IIA surgery, 20% had external frontoethmoidectomy, and 40% had external frontal sinusotomy. The recurrence rate was 60%, and frontal stenosis rate was 60%. The two F4 cases had external frontal sinusotomies and Draf III surgery with no frontal recurrence or stenosis. The patient with the F5 had a frontal recurrence after Draf IIA surgery and external frontoethmoidectomy. Conclusions Draf I or IIA surgery is adequate for most F1 tumors, and Draf II surgery is adequate for most F2 tumors. F3 and F4 tumors can be managed initially by Draf III surgery with external frontal sinusotomy added when required. F5 tumors probably require combined surgical approaches. Level of Evidence 4 Laryngoscope, 130:1622–1628, 2020
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Affiliation(s)
- Cheuk Lun Sham
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
| | - C Andrew van Hasselt
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
| | - Samuel M W Chow
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
| | - Dennis L Y Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
| | - Ryan H W Cho
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
| | - John K S Woo
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
| | - Michael C F Tong
- Department of Otorhinolaryngology-Head and Neck Surgery, Chinese University of Hong Kong, Hong Kong
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Inverted papilloma presenting as unilateral proptosis: A case report with review of literature. Saudi J Ophthalmol 2019; 33:413-416. [PMID: 31920456 PMCID: PMC6950950 DOI: 10.1016/j.sjopt.2019.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 01/13/2019] [Accepted: 01/28/2019] [Indexed: 11/23/2022] Open
Abstract
Inverted papilloma is an interesting benign tumour arising from lining epithelium of paranasal sinuses which most commonly involves nasal cavity and paranasal sinuses. However, involvement of orbit and intracranial extension without malignant transformation is very rare. We report a case of extensive inverted papilloma of frontal sinus which primarily presented with proptosis, an uncommon presentation. Ophthalmologic symptoms are rare manifestations of paranasal sinus inverted papilloma without malignant transformation and signify extensive disease with possible intracranial extension.
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Francies O, Makalanda L, Paraskevopolous D, Adams A. Imaging review of the anterior skull base. Acta Radiol Open 2018; 7:2058460118776487. [PMID: 29872547 PMCID: PMC5977432 DOI: 10.1177/2058460118776487] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 04/17/2018] [Indexed: 12/28/2022] Open
Abstract
The anterior skull base (ASB) is intimately associated with the unique soft tissue subtypes of the nasal cavity, paranasal sinuses, orbits, and intracranial compartment. Pathology involving the ASB is rare but the causes are manifold and can be broadly subdivided into those intrinsic to the skull base and processes extending from below or above. Sinonasal pathology is the most commonly encountered and poses significant management challenges that rely heavily on accurate interpretation of the radiological findings. We illustrate the normal anatomy of the ASB and present a cross-sectional imaging review of the pathological entities that may be encountered, focusing on the specific features that will impact on clinical and surgical management.
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Affiliation(s)
- Olivia Francies
- Department of Radiology, St Bartholomew's and The Royal London Hospitals, Barts Health NHS Trust, London, UK
| | - Levan Makalanda
- Department of Radiology, St Bartholomew's and The Royal London Hospitals, Barts Health NHS Trust, London, UK
| | | | - Ashok Adams
- Department of Radiology, St Bartholomew's and The Royal London Hospitals, Barts Health NHS Trust, London, UK
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De Sousa A, Urdaneta N, Abreu PA, Rodríguez H. Tratamiento del papiloma oncocítico nasosinusal avanzado sin malignización asociada, con resección endoscópica y radioterapia en arcos de volumen modulado (RAVM). Reporte de un caso. IATREIA 2017. [DOI: 10.17533/udea.iatreia.v30n4a09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Grayson JW, Khichi SS, Cho DY, Riley KO, Woodworth BA. Management Strategies for Skull Base Inverted Papilloma. Otolaryngol Head Neck Surg 2016; 155:179-83. [DOI: 10.1177/0194599816639019] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Accepted: 02/24/2016] [Indexed: 12/18/2022]
Abstract
Objective Inverted papilloma attached to the ventral skull base presents a surgical dilemma because surgical removal of the bony pedicle is critical to decrease risk of recurrence. The objective of this study is to evaluate the effectiveness of endoscopic management of skull base inverted papilloma. Study Design Case series with planned data collection. Setting Tertiary medical center. Subjects Patients with skull base inverted papilloma. Methods Over 7 years, 49 patients with skull base inverted papilloma were referred for surgical resection. Demographics, operative technique, pathology, complications, recurrence, and postoperative follow-up were evaluated. Results Average age at presentation was 57 years. Twenty-six patients (53%) had prior attempts at resection elsewhere, and 5 had squamous cell carcinoma (SCCA) arising in an inverted papilloma. Six patients (12%) suffered major complications, including skull base osteomyelitis in 2 previously irradiated patients, cerebrospinal fluid leak with pneumocephalus (n = 1), meningitis (n = 1), invasive fungal sinusitis (n = 1), and cerebrovascular accident (n = 1). The mean disease-free interval was 29 months (range, 10-78 months). One patient with SCCA recurred in the nasopharynx (overall 2% recurrence rate). He is disease-free 3 years following endoscopic nasopharyngectomy. Three patients with SCCA had endoscopic resection of the skull base, while 1 subject with inverted papilloma pedicled on the superior orbital roof had an osteoplastic flap in conjunction with a Draf III procedure. All others received endoscopic resection. Conclusions Removal of the bony pedicle resulted in excellent local control of skull base inverted papillomas. Our experience demonstrates that disease eradication with limited morbidity is attainable with this approach.
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Affiliation(s)
- Jessica W. Grayson
- Department of Otolaryngology, University of Alabama–Birmingham Medical Center, Birmingham, Alabama, USA
| | - Sunny S. Khichi
- Department of Otolaryngology, University of Alabama–Birmingham Medical Center, Birmingham, Alabama, USA
| | - Do-Yeon Cho
- Department of Otolaryngology, University of Alabama–Birmingham Medical Center, Birmingham, Alabama, USA
| | - Kristen O. Riley
- Department of Neurosurgery, University of Alabama–Birmingham Medical Center, Birmingham, Alabama, USA
| | - Bradford A. Woodworth
- Department of Neurosurgery, University of Alabama–Birmingham Medical Center, Birmingham, Alabama, USA
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Chawla A, Shenoy J, Chokkappan K, Chung R. Imaging Features of Sinonasal Inverted Papilloma: A Pictorial Review. Curr Probl Diagn Radiol 2015; 45:347-53. [PMID: 26632214 DOI: 10.1067/j.cpradiol.2015.10.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2015] [Accepted: 10/19/2015] [Indexed: 12/16/2022]
Abstract
Computed tomography and magnetic resonance imaging are widely used for evaluation of patients with nasal masses, playing an integral role in their diagnosis and treatment. Inverted papilloma is a rare tumor of the sinonasal region that demonstrates characteristic imaging appearances. Preoperative diagnosis and precise tumor extent are essential for surgical planning as this tumor grows centrifugally and has high potential to recur following incomplete surgery. This pictorial review aims to illustrate the spectrum of imaging features of inverted papilloma and highlight the key features that are useful for making an accurate diagnosis of this condition. Common differential diagnoses are also discussed.
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Affiliation(s)
- Ashish Chawla
- Department of Radiology, Khoo Teck Puat Hospital, Singapore, Singapore.
| | - Jagadish Shenoy
- Department of Radiology, Khoo Teck Puat Hospital, Singapore, Singapore
| | | | - Raymond Chung
- Department of Radiology, Khoo Teck Puat Hospital, Singapore, Singapore
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Inverted papilloma of frontal sinus with intracranial extension. Med J Armed Forces India 2013; 71:S152-5. [PMID: 26265814 DOI: 10.1016/j.mjafi.2013.10.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Accepted: 10/01/2013] [Indexed: 12/28/2022] Open
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