MCQ – 66165

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.This condition most commonly arises from ? 

A.	Lateral wall of nose.
B.	Roof of nose.
C.	Tip of nose.
D.	Septum.

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Correct Answer � A Explanation

Ans;A.)Lateral wall of nose.

The condition shown in the picture above represents Inverted papilloma.

Inverted 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.