Question
A 50 year old male patient presented with unilateral nasal obstruction and nasal bleeding.On examination of the nose,the following picture is seen.
On histological examination of this swelling, finger like epithelial invasions into the underlying stroma is seen.Which of the following is not true about this condition ?
A. It is always unilateral.
B. It is more common in males.
C. 10-15 % of the cases may be associated with squamous cell carcinoma.
D. It is also called Ringertz tumor.
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Correct Answer » D
Explanation
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Ans;D. It is also called Ringertz tumor.
The condition shown in the picture above represents Inverted Papilloma
Inverted Papilloma (Transitional cell papilloma/Schneiderion papilloma)
- It is a benign neoplasm occurs mostly between 40-70 years with male preponderance (5 : 1).
- It arises from the lateral wall of nose and is always unilateral. Rarely, it may arise from nasal septum.
Features of inverted papilloma are :-
- It shows finger like epithelial invasions into the underlying stroma of the epithelium rather than on surface so called inverted papilloma.
- It is usually unilateral and is a locally aggressive tumour.
- Patients complain of nasal obstruction, rhinorrhea & unilateral epistaxis.
- In 10-15% cases there may be associated squamous cell carcinoma.
- Treatment is adequate local excision. If it arises in maxillary sinus, then a radical antrostomy is carried out. If it arises in the ethmoidal sinus, an external ethmoidectomy is done. If it arises from nose, treatment is wide surgical excision by lateral rhinotomy.
- Has a tendency to recur even after removal.
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