Inverted papilloma

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Nasal obstruction and chronic headache.

Patient Data

Age: 45
Gender: Male
CT

Expansile soft tissue density noted filling the left nasal cavity obliterating the related osteomeatal unit, middle and inferior turbinates. It extends medially to the left maxillary sinus through a defect within the sinus medial wall and posteriorly partially obliterating the nasopharynx. The soft tissue density is adherent to the rarified nasal septum. Mucosal thickening noted within the left maxillary sinus which seems to be continuous with the previously noted left nasal lesion. Minimal mucosal thickening is noted at the right maxillary, right sphenoid and left anterior ethmoid air cells.

CT

Postoperative follow up

Left nasal lesion operated and proved to be inverted papilloma.

Case Discussion

The left nasal mass lesion was surgically excised and pathological examination demonstrated sinonasal inverted papilloma.

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Case information

rID: 48738
Case created: 21st Oct 2016
Last edited: 22nd Oct 2016
System: Head & Neck
Inclusion in quiz mode: Excluded

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