Curr Health Sci J, vol. 45, no. 2, 2019

Giant Rhinosinusal Inverted Papilloma

[Case Report]

A.N. CAPITANESCU(1), M.R. MITROI(1), C. FOARFA(2), D. PIRICI(3), A. ENESCU(4), R.G. CAPITANESCU(5)


(1)Department of Otorhinolaryngology, University of Medicine and Pharmacy of Craiova, Romania,
(2)Department of Pathology, Clinical Emergency County Hospital of Craiova, Romania,
(3)Department of Research Methodology, University of Medicine and Pharmacy of Craiova, Romania,
(4)Department of Anatomy, University of Medicine and Pharmacy of Craiova, Romania,
(5)Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Sinonasal papilloma is a benign tumor, derived from Schneiderian sinonasal epithelium. There have been described three histological subtypes: inverted, oncocytic and exophytic. The case presented here is A 66-year-old male patient, which was hospitalized in our Otolaryngology Department for a giant tumor, that was exteriorized from the left nostril, repeated epistaxis, nasal obstruction and anosmia. The computed tomography scan revealed an iodophilic and non-homogeneous tumor, with areas of necrosis, which included the entire left nasal cavity, with extension to the rhinopharynx and the left maxillary sinus. We completely removed the tumor by an endoscopic medial maxillectomy, with the subsequent histopathological examination revealing an inverted papilloma, with areas of low grade dysplasia and also areas with oncocytic Schneiderian papilloma. At the six-months postoperative control, there was no tumor recurrence. Major issues of this type of tumor is fast invasion capacity and numerous local recurrence. More recent studies have shown that these relapses are often overdue tumors.


Keywords:
Inverted papilloma, medial maxillectomy, recurrences, malignancy potential



Corresponding:
Mihaela Mitroi, Department of Otorhinolaryngology, University of Medicine and Pharmacy of Craiova, Romania, e-mail: mhlmitroi@yahoo.com


DOI 10.12865/CHSJ.45.02.17 - Download PDF