Case 5B: Inverted Papilloma
A 65 year old female presented with the complaint of right-sided
nasal obstruction with intermittent episodes of epistaxis.
The CT scan showed a hypodense mass in the left
nasal cavity attached to the septum and right lateral nasal wall with
blockage of the left ethmoid and frontal sinuses. Diagnostic
nasal endoscopy showed a reddish brown mass which bled profusely on
probing, the mass was removed endoscopically and was sent for
histopathological examination.
|
Figure 1: Intra-Nasal
Appearance of an Inverted Papilloma
Click on Pictures to Enlarge
|
Figure 2: Coronal CT Scan of an
Inverted Papilloma
Click on Pictures to Enlarge |
The circumscribed margin of the lesion showed a thickened squamous
type of epithelium. Multiple papillary folds with fibrovascular
core were seen running into fibro myxoid stroma. Papillae were
lined by multilayered epithelium that had regular nuclei.
|
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Figure 3: Histological Appearance
Click on Pictures to Enlarge |
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World Articles in Ear, Nose and Throat
www.waent.org
Jan
27, 2012
Vol 5-1
Copyright WAENT 2012 All Rights Reserved
