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sinonasal papillomas

Vedat Yildirim, Niels Christian Pausch, Dirk Halama, Heinz-Theo Lübbers, Ayhan Yildirim
BACKGROUND: Sinonasal inverted papilloma is a locally aggressive tumor arising from the Schneiderian membrane which lines the nasal cavity and paranasal sinuses. Aggressive surgical approaches, such as lateral rhinotomy, were used until recently for complete removal of the inverted papilloma. Currently, endoscopic resection is the gold standard in the treatment of inverted papilloma. However, there are situations that justify an open approach. For example there are studies that report a higher postoperative recurrence rate after endonasal endoscopic resection, particularly in the treatment of recurrent diseases...
December 1, 2016: Journal of Medical Case Reports
B T Yang, Y Z Wang, F R Sun, J Y Dong
AIM: To investigate the key imaging points in distinguishing ossifying inverted papilloma (IP) from polyps. MATERIALS AND METHODS: The native computed tomography (CT), conventional and enhanced MRI manifestations of 20 ossifying IPs and eight polyps, which were confirmed histopathologically, were retrospectively evaluated by two doctors majoring in head and neck imaging. RESULTS: A significant difference was detected between the two entities for the involved sites (p<0...
October 20, 2016: Clinical Radiology
F V W J van Zijl, D A Monserez, T I M Korevaar, O Bugter, M H Wieringa, R J Baatenburg de Jong, J A U Hardillo
:  OBJECTIVES: Sinonasal inverted papilloma (IP) has several unfavorable characteristics and therefore requires careful monitoring. The goal of this study was to identify whether serum squamous cell carcinoma antigen (SCCa) could predict IP recurrence. DESIGN: A retrospective cohort study. SETTING: Department of otolaryngology/head and neck surgery, Erasmus Medical Centre, Rotterdam, the Netherlands. PARTICIPANTS: 130 patients with IP treated at our centre with SCCa measurements available were included...
September 26, 2016: Clinical Otolaryngology
Masamichi Koyama, Takashi Terauchi, Mitsuru Koizumi, Hiroko Tanaka, Kengo Takeuchi
INTRODUCTION: F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) is useful for the staging and assessment of treatment response in patients with lymphoma. Occasionally, benign lesions demonstrate avid FDG uptake and result in false positive findings. CASE: We report the case of an 82-year-old man presenting with cutaneous lesions, which were histopathologically diagnosed as intravascular lymphoma. FDG-PET/CT for staging demonstrated an FDG-avid mass extending from the right maxillary sinus to the nasal cavity, moderate uptake in the adrenal glands, mild uptake in the knee and the foot, and faint uptake in the skin and subcutaneous tissue of the legs...
August 2016: Medicine (Baltimore)
Gaoli Fang, Hongfei Lou, Wenling Yu, Xiangdong Wang, Bentao Yang, Junfang Xian, Xiaohong Song, Erzhong Fan, Ying Li, Chengshuo Wang, Luo Zhang
BACKGROUND: Precise localization and excision of the originating site of a sinonasal inverted papilloma (SNIP) is essential for decreasing tumor recurrence. In this study we evaluated the use of preoperative computed tomography (CT) and magnetic resonance imaging (MRI) to pinpoint the attachment/originating sites of SNIPs in 143 patients. METHODS: Osteitis signs in CTs and convoluted cerebriform pattern (CCP)-based reverse tracings from MRIs of 143 SNIP patients were analyzed preoperatively to predict the originating site of SNIPs...
August 25, 2016: International Forum of Allergy & Rhinology
Lokman Uzun, Seyma Ozkanli, M Tayyar Kalcioglu, Numan Kokten, Cigdem Kafkasli
No abstract text is available yet for this article.
July 30, 2016: Brazilian Journal of Otorhinolaryngology
Jong Seung Kim, Sam Hyun Kwon
OBJECTIVES/HYPOTHESIS: Inverted papilloma (IP) is a rare benign tumor, which is found in the sinonasal area. It is characterized by recurrence, local destruction, and malignant change. Of these, recurrence is a challenging problem to many otolaryngologists. In this study, we evaluated recurrence based on the type of surgical approach using a meta-analysis. STUDY DESIGN: MEDLINE, Embase, and Cochrane database. METHODS: Relevant studies were identified by searching the following databases: MEDLINE, Embase, and Cochrane through February 2016...
August 17, 2016: Laryngoscope
M Chmelařová, I Sirák, M Mžik, K Sieglová, H Vošmiková, P Dundr, K Němejcová, J Michálek, M Vošmik, V Palička, J Laco
Epigenetic changes are considered to be a frequent event during tumour development. Hypermethylation of promoter CpG islands represents an alternative mechanism for inactivation of tumour suppressor genes, DNA repair genes, cell cycle regulators and transcription factors. The aim of this study was to investigate promoter methylation of specific genes in samples of sinonasal carcinoma by comparison with normal sinonasal tissue. To search for epigenetic events we used methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) to compare the methylation status of 64 tissue samples of sinonasal carcinomas with 19 control samples...
2016: Folia Biologica (Praha)
Tsung-Wei Liu, Shih-Han Hung, Po-Yueh Chen
Spindle cell carcinoma (SpCC) is a rare variant of squamous cell carcinoma (SCC). SpCC of sinonasal origin is relatively rare and more aggressive than normal SCC. It most commonly involves the maxillary sinus, and rarely the sphenoid sinus. The present study reports a case of sphenoid sinus SpCC presenting with bilateral visual loss. Following endoscopic sinus decompression surgery, the patient was referred to the Oncology Department for a staging workup, and subsequently received concurrent chemoradiotherapy; however, the vision of the patient was not recovered, despite treatment...
July 2016: Oncology Letters
Aaron M Udager, Jonathan B McHugh, Bryan L Betz, Kathleen T Montone, Virginia A Livolsi, Raja R Seethala, Evgeny Yakirevich, O Hans Iwenofu, Bayardo Perez-Ordonez, Kathleen E DuRoss, Helmut C Weigelin, Megan S Lim, Kojo Sj Elenitoba-Johnson, Noah A Brown
Oncocytic sinonasal papillomas (OSPs) are benign tumours of the sinonasal tract, a subset of which are associated with synchronous or metachronous sinonasal squamous cell carcinoma (SNSCC). Activating EGFR mutations were recently identified in nearly 90% of inverted sinonasal papillomas (ISPs) - a related tumour with distinct morphology. EGFR mutations were, however, not found in OSP, suggesting that different molecular alterations drive the oncogenesis of these tumours. In this study, tissue from 51 cases of OSP and five cases of OSP-associated SNSCC was obtained retrospectively from six institutions...
August 2016: Journal of Pathology
Apostolos Karligkiotis, Davide Lepera, Luca Volpi, Mario Turri-Zanoni, Paolo Battaglia, Davide Lombardi, Remo Accorona, Maurizio Bignami, Piero Nicolai, Paolo Castelnuovo
BACKGROUND: Sinonasal inverted papillomas (IPs) can be associated synchronously or metachronously to invasive squamous cell carcinoma (SCC) in 5% to 10% of cases. The purposes of the present study were to analyze the outcomes of patients with sinonasal SCC arising from inverted papilloma (IP-SCC) treated through an endoscopic approach and review the pertinent literature. METHODS: The medical records of all patients treated for IP-SCC between 1997 and 2014 at 2 referral centers following a uniform policy were retrospectively analyzed...
May 6, 2016: Head & Neck
Vasile Nicolae, Mariana Sabău, Mihai Iulian FăgeŢan, Vlad Petrescu Seceleanu, Daniel Iorgulescu, Dana Elena Dumitra, Alexandru Dan Sabău, Sorin Ibric-Cioranu, Anca Sava, Viorel Ibric-Cioranu
The inverted sino-nasal papilloma is a benign epithelial lesion, ranging from 1% to 5% of the tumors that reside in this area. It is characterized by a tendency towards local bone destruction, recurrence and malignant transformation. This is a presentation of two cases diagnosed and surgically treated for malignant inverted papiloma, which started in the epithelium of the maxillary sinuses. The cases had in common the late presentation of the patient to the surgeon, thus the local destruction was significant with extension towards the eye socket and the base of the skull...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
Olga Stasikowska-Kanicka, Małgorzata Wągrowska-Danilewicz, Marian Danilewicz
Epithelial to mesenchymal transition (EMT) is a biological process in which the epithelial cells, transform to mesenchymal cells via multiple biochemical modifications. Immunohistochemical method was used to examine the expression of EMT-related proteins: Slug, E-cadherin and fibronectin, in 41 cases of sinonasal inverted papilloma (SIP), 33 cases of sinonasal squamous cell carcinoma (SNC), and 22 cases of normal mucosa as a control. In all cases negative viral status was previously confirmed using both in situ hybridization and immunohistochemical method...
October 2016: Pathology Oncology Research: POR
Ryuji Yasumatsu, Torahiko Nakashima, Masanobu Sato, Takafumi Nakano, Ryunosuke Kogo, Kazuki Hashimoto, Motohiro Sawatsubashi, Takashi Nakagawa
OBJECTIVE: The aim of this study was to investigate the clinical features and prognosis of patients with squamous cell carcinoma (SCC) associated with sinonasal inverted papilloma (IP). METHODS: The medical records of 95 patients who were diagnosed with IP or SCC associated with IP were retrospectively reviewed. Out of 95 patients, 15 were diagnosed with SCC associated with IP. The clinical characteristics, treatment modalities, and survival outcomes of the patients were analyzed...
April 20, 2016: Auris, Nasus, Larynx
Ren-Wu Zhao, Zhi-Qiang Guo, Ru-Xin Zhang
A growing number of molecular epidemiological studies have been conducted to evaluate the association between human papillomavirus (HPV) infection and the malignancy of sinonasal inverted papilloma (SNIP). However, the results remain inconclusive. Here, a meta-analysis was conducted to quantitatively assess this association. Case-control studies investigating SNIP tissues for presence of HPV DNA were identified. The odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by the Mantel-Haenszel method...
June 2016: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
Harikrishnan Prasad, Ranganath Sruthi, Krishnamurthy Anuthama, Mahendra Perumal, Ranganathan Parthasarathy
Inverted sinonasal papilloma (ISP) is a benign epithelial neoplasm arising from the Schneiderian membrane. We report a case of ISP in a 50-year-old male that clinically presented as a polypoid mass in the nasal cavity. Imaging studies revealed it to be an aggressive lesion showing intracranial extension. On histopathological examination of the excised specimen, a diagnosis of ISP was arrived at. However, an extensive sampling of the tissue revealed no evidence of any malignant transformation. Taking into account the suggested viral aetiology for such lesions and the aggressiveness observed in this case, human papillomavirus (HPV) profiling was done but it turned out to be negative...
2016: Curēus
Q Lisan, O Laccourreye, P Bonfils
Inverted papilloma is a rare sinonasal tumor that mainly occurs in adults during the 5th decade. Three characteristics make this tumor very different from other sinonasal tumors: a relatively strong potential for local destruction, high rate of recurrence, and a risk of carcinomatous evolution. Etiology remains little understood, but an association with human papilloma virus has been reported in up to 40% of cases, raising the suspicions of implication in the pathogenesis of inverted papilloma. Treatment of choice is surgery, by endonasal endoscopic or external approach, depending on extension and tumoral characteristics...
April 1, 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
Chakapan Promsopa, Soisuda Thanahirunrojh
OBJECTIVE: To evaluate the surgical outcomes and recurrence rate of inverted papillomas (IPs). MATERIAL AND METHOD: The medical records of patients diagnosed as IPs at Songklanagarind Hospital between January 2004 and December 2012 were retrospectively reviewed. Demographic data, clinical presentation, type of surgical approach, complications, and recurrence status were collected. RESULTS: From 64 patients, 75% were male. The average age was 55 years...
December 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Shubhangi Khandekar, Alka Dive, Rakesh Mishra, Neha Upadhyaya
Inverted papilloma is a benign epithelial growth in the underlying stroma of the nasal cavity and paranasal sinuses. The pathogenesis of this lesion remains unclear although allergy, chronic sinusitis and viral infections have been suggested as possible causes. The tumor is well known for its invasiveness, tendency to recur and association with malignancy. Recurrence rates of inverted papilloma are unacceptably high, which actually represents residual disease in most cases. In this study, we have presented a case report and reviewed the histological features of sinonasal inverted papilloma...
September 2015: Journal of Oral and Maxillofacial Pathology: JOMFP
Mohamed Akkari, Jérome Lassave, Thibault Mura, Grégory Gascou, Guillemette Pierre, César Cartier, Renaud Garrel, Louis Crampette
BACKGROUND: Sinonasal inverted papilloma (SNIP), classically, is a unilateral benign tumor of the nasal lateral wall. Numerous variations have been observed, depending on location, bilateral presentation, or association with nasal polyposis. OBJECTIVE: The aim of this work was to describe atypical presentations of SNIPs with their management specificities and to assess their influence on the recurrence rate in a large case series. METHODS: A retrospective single center study of 110 patients treated for SNIP...
March 2016: American Journal of Rhinology & Allergy
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