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Bilateral fungiform papilloma with synchronous verrucous carcinoma of the nasal septum: a rare presentation and a literature review

Published online by Cambridge University Press:  19 December 2011

T Maithani ,
D Dey ,
A Pandey  and
N Chawla
T Maithani*
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
D Dey
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
A Pandey
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
N Chawla
Affiliation:
Department of Pathology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
*
Address for correspondence: Dr T Maithani, Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Mahant Indiresh Hospital, Patel Nagar, Dehradun, India Fax: 00 91 (0)135 2720151 E-mail: dr_triptimaithani@yahoo.com
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Abstract

Aim:

Fungiform papillomas are benign mucosal neoplasms presenting as a unilateral exophytic mass involving the anterior portion of the nasal septum. In this study, we present an exceptional case of a bilateral fungiform papilloma with a synchronous verrucous carcinoma of the nasal septum.

Material and methods:

A case study with a review of the literature concerning malignant changes in fungiform papilloma.

Results:

The general consensus in most of the literature is that malignant change in fungiform papilloma is exceptional. Our patient is probably the third reported case of verrucous carcinoma of the nasal septum, and the first report of a bilateral fungiform papilloma with a synchronous verrucous carcinoma. The tumour was subjected to complete surgical removal in the first instance. There was no recurrence at follow up seven months after surgery.

Conclusion:

Although fungiform papillomas are generally not premalignant, occasional malignant transformation may occur. Thus, they must be managed with the utmost cautiousness.

Keywords

Nasal SeptumPapilloma, FungiformVerrucous CarcinomaPathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 4 , April 2012 , pp. 424 - 427
Copyright
Copyright © JLO (1984) Limited 2011

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