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An unusual presentation of inverted papilloma: case report and literature review

  • V Visvanathan (a1), H Wallace (a1), P Chumas (a2) and Z G G Makura (a1)
Abstract
AbstractObjective:

Inverted papilloma is a rare but locally aggressive tumour with the potential for malignant transformation. Intracranial extension or complications secondary to inverted papilloma are extremely rare. We report a case of inverted papilloma with a large frontal sinus mucocele eroding the frontal sinus, which presented with sudden neurological compromise. A literature review on intracranial extension of such tumours is also included.

Methods:

A Medline search of articles, using the terms ‘inverted papilloma’, ‘Ringertz tumour’, ‘intracranial extension’ and ‘complication’. Suitable references from the collected articles were also reviewed. Articles published in English were selected and reviewed.

Results:

A total of 10 cases was identified. Intracranial spread was more commonly seen in recurrent cases, especially if the recurrence involved the cribriform plate, fovea ethmoidalis or orbits. Cases with extradural disease seemed to have a better prognosis than those with intradural spread.

Conclusions:

Intracranial involvement of inverted papilloma is extremely rare, and is usually seen in recurrent cases. This case report highlights an unusual but serious case of inverted papilloma presenting with acute neurological deterioration secondary to a large frontal sinus mucocele eroding the frontal sinus. A literature review on intracranial extension of inverted papilloma indicated that common sites of intracranial spread include the cribriform plate, fovea ethmoidalis and orbits. The prognosis for patients with such tumours depends on the type of dural involvement, with intradural extension carrying a poorer prognosis.

Copyright
Corresponding author
Address for correspondence: Mr V Visvanathan, Clinical Fellow, Department of ENT – Head and Neck Surgery, Leeds General Infirmary, Leeds, West Yorkshire, LS1 3EX, UK. E-mail: Vikranth@hotmail.co.uk
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1 W Lawson , J LeBenger , PJ Bernard , HF Biller , P Som . Inverted papilloma: an analysis of 87 cases. Laryngoscope 1989;99:1117–24

2 JG Batsakis , P Suarez . Schneiderian papillomas and carcinomas: a review. Adv Anat Pathol 2001;8:5364

3 SR Dolgin , VD Zaveri , RR Casiano , AJ Maniglia . Different options for treatment of inverting papilloma of the nose and paranasal sinuses: a report of 41 cases. Laryngoscope 1992;102:231–6

4 W Lawson , BT Ho , CM Shaari , HF Biller . Inverted papilloma: a report of 112 cases. Laryngoscope 1995;105:282–8

7 M Kraft , D Simmen , R Casas , M Pfaltz . Significance of human papillomavirus in sinonasal papillomas. J Laryngol Otol 2001;115:709–14

8 G Mortuaire , E Arzul , JA Darras , D Chevalier . Surgical management of sinonasal inverted papillomas through endoscopic approach. Eur Arch Otorhinolaryngol 2007;264:1419–24

9 EN Myers , JL Fernau , JT Johnson , JC Tabet , LE Barnes . Management of inverted papilloma. Laryngoscope 1990;100:481–90

10 BM Lyons , PJ Donald , JM Sykes , JE Boggan . Craniofacial resection for intracranial inverting papilloma and frontal sinus mucocoele. Skull Base Surgery 1992;2:92–7

13 R Delfini , P Missori , G Lannetti , P Giappetta , G Cantore , WF Chandler Mucoceles of the paranasal sinuses with intracranial and intraorbital extension: report of 28 cases. Neurosurgery 1993;32:901–6

15 PJ Miller , J Jacobs , JT Roland Jr, HH Mizrachi . Intracranial inverting papilloma. Head Neck 1996;18:450–3

17 E Vural , JY Suen , E Hannah . Intracranial extension of inverted papilloma. An unusual and potentially fatal complication. Head Neck 1999;21:703–6

20 DP Vrabec . The inverted Schneiderian papilloma: a 25-year study. Laryngoscope 1994;104:582605

21 PJ Wormald , E Ooi , CA van Hasselt , S Nair . Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope 2003;113:867–73

22 JM Busquets , PH Hwang . Endoscopic resection of sinonasal inverted papillomas. Otolaryngol Head Neck Surg 2006;134:476–82

23 D Tomenzoli , P Castelnuovo , F Pagella , M Berlucchi , L Pianta , G Delù Different endoscopic surgical strategies in the management of inverted papilloma of the sinonasal tract: experience with 47 patients. Laryngoscope 2004;114:193200

25 G Eggers , H Eggers , N Sander , F Kössling , R Chilla . Histological features and malignant transformation of inverted papilloma. Eur Arch Otorhinolaryngol 2005;262:263–8

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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