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.
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.