Epiphora as a sign of unexpected underlying squamous cell carcinoma within sinonasal inverted papilloma

AbstractObjective:This study reports a case of a sinonasal inverted papilloma with spread to the temporal bone via the eustachian tube and subsequent transformation to squamous cell carcinoma.Method:An 81-year-old woman presented with sinonasal inverted papilloma which subsequently spread to the ear. A literature review of inverted papilloma was carried out based on a Pubmed search of studies published between 1987 and 2011, using the key words ‘sinonasal inverted papilloma’, ‘temporal bone inverted papilloma’ and ‘squamous cell carcinoma’.Results and conclusion:Sinonasal and temporal bone inverted papillomas may sometimes be linked through direct spread via the eustachian tube. Inverted papillomas have the potential for malignant transformation; careful monitoring of both the nose and ear is therefore required for inverted papillomas found in the nasopharynx.

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Diagnostic role of CD44 and desmoglein 3 in sinonasal inverted papilloma and associated squamous cell carcinoma

Egyptian Journal of Pathology ◽

10.1097/01.xej.0000504535.51792.19 ◽

2016 ◽

Vol 36 (2) ◽

pp. 164-169 ◽

Cited By ~ 1

Author(s):

Sarah A. Hakim ◽

Wesam Ismail

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Inverted Papilloma ◽

Sinonasal Inverted Papilloma ◽

Diagnostic Role ◽

Desmoglein 3

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Clinical value of serum squamous cell carcinoma antigen in the management of sinonasal inverted papilloma

Head & Neck ◽

10.1002/hed.20115 ◽

2004 ◽

Vol 27 (1) ◽

pp. 44-48 ◽

Cited By ~ 15

Author(s):

Ryuji Yasumatsu ◽

Torahiko Nakashima ◽

Muneyuki Masuda ◽

Yuichiro Kuratomi ◽

Hideki Shiratsuchi ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Inverted Papilloma ◽

Squamous Cell Carcinoma Antigen ◽

Clinical Value ◽

Sinonasal Inverted Papilloma

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Immunohistochemical Expression of EGFR, NF-kB and Cyclin D1 in Sinonasal Inverted Papilloma and Squamous Cell Carcinoma

The Indonesian Biomedical Journal ◽

10.18585/inabj.v12i3.1172 ◽

2020 ◽

Vol 12 (3) ◽

pp. 239-44

Author(s):

Pudji Rahaju ◽

Rio Auricknaga Kintono ◽

Ahmad Dian Wahyudiono ◽

Arif Satria ◽

Ferry Sandra

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Cyclin D1 ◽

Squamous Cell ◽

Growth Factor Receptor ◽

Neck Surgery ◽

Cross Sectional Study ◽

Inverted Papilloma ◽

Cross Sectional ◽

Sinonasal Inverted Papilloma

BACKGROUND: Sinonasal inverted papilloma (SIP), a benign epithelial growth in the sinonasal region with epidermoid epithelial transformation, has been known for its invasiveness, recurrency, and its link with malignancy. Meanwhile sinonasal squamous cell carcinoma (SSCC) is an epithelial malignancy on squamous cells from the sinonasal region. Epidermal growth factor receptor (EGFR), Nuclear Factor kB (NF-kB), and Cyclin D1 are factors those might play important role in proliferation of SIP and SSCC. This research was conducted to investigate the expressions of EGFR, NF-kB and Cyclin D1 in SIP and SSCC.METHODS: A cross-sectional study by examining the EGFR, NF-kB, and Cyclin D1 immunohistochemical expressions of SIP and SSCC was conducted. Subjects whose blocks were used in this research, were diagnosed as SIP and SSCC at the Otorhinolaryngology-Head and Neck Surgery Clinic, Dr. Saiful Anwar General Hospital. Samples were selected, processed for inmmunohistochemistry, evaluated and statistical analyzed.RESULTS: Twenty-four SIP and 9 SSCC subjects with their paraffin blocks were selected. Clear immunohistochemical expressions of EGFR, NF-kB, and Cyclin D1 were observed for both SIP and SSCC. Significantly higher immunostaining levels of EGFR (45.6%, p=0.001) and NF-kB (42.2%, p=0.013) were observed in SSCC. Immunostaining levels of EGFR vs. NF-kB were moderately correlated (p=0.03, r=0.437), while the immunostaining levels of NF-kB vs. Cyclin D1 were strongly correlated (p=0.002, r=0.602).CONCLUSION: Expression of EGFR and NF-kB in SSCC were higher than the EGFR and NF-kB expression in SIP, suggesting that EGFR and NF-kB play important role in sinonasal malignancy.KEYWORDS: sinonasal, inverted papilloma, SCC, EGFR, NF-kB, Cyclin D1

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Updates in the cause of sinonasal inverted papilloma and malignant transformation to squamous cell carcinoma

Current Opinion in Otolaryngology & Head & Neck Surgery ◽

10.1097/moo.0000000000000692 ◽

2020 ◽

Vol 29 (1) ◽

pp. 59-64

Author(s):

Charles C.L. Tong ◽

James N. Palmer

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Malignant Transformation ◽

Squamous Cell ◽

Inverted Papilloma ◽

Sinonasal Inverted Papilloma

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Can Computed Tomography Findings Predict the Recurrence of Sinonasal Inverted Papilloma?

Otolaryngology ◽

10.1177/0194599820964798 ◽

2020 ◽

pp. 019459982096479

Author(s):

Eran Glikson ◽

Alberto Dragonetti ◽

Ethan Soudry ◽

Noa Rozendoren ◽

Roee Landsberg ◽

...

Keyword(s):

Computed Tomography ◽

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Attachment Site ◽

Inverted Papilloma ◽

Term Outcome ◽

Long Term Outcome ◽

Sinonasal Inverted Papilloma

Objective To evaluate the correlation between the ability to predict the attachment site of sinonasal inverted papilloma by computed tomography and the long-term surgical outcome. Study Design Retrospective cohort study. Setting Five tertiary medical centers. Methods Study patients underwent attachment-oriented resection of inverted papilloma. The primary outcome was tumor recurrence. Results Among 195 patients eligible for the study, focal hyperostosis was recognized on computed tomography in 65% (n = 127), in 71% of primary cases (n = 101), and in 50% of revision procedures (n = 26). There was a trend for a higher incidence of squamous cell carcinoma among the patients without detectable hyperostosis ( P = .051). Location of hyperostosis coincided with the actual tumor attachment site in 114 patients (90%). Discordance between these parameters did not differ significantly ( P = .463) between 11 primary and 2 revision cases. The overall rate of recurrence was 9.7% (n = 19), with a mean time to recurrence of 20 months (range, 7-96 months). The rate of recurrence did not correlate with any of the following: tumor stage, surgical approach, presence of squamous cell carcinoma, whether the surgery was primary or revision, and the presence or location of focal hyperostosis on computed tomography. Inverted papilloma recurred significantly more often (38.5%) when the intraoperative findings of the tumor attachment site did not match the location of hyperostosis observed on computed tomography (odds ratio, 6.5; 95% CI, 1.78-23.66). Conclusion Detectability of focal hyperostosis on preoperative computed tomography does not affect the long-term outcome of inverted papilloma resection.

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