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 usually unilateral.
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| B. |
It is more common in males.
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| C. |
It is also called Ringertz tumor.
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| D. |
All of the above.
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Show Answer
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Correct Answer � D
Explanation
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Ans:D-All of the above
Inverted Papilloma/Schneiderion Papilloma/Transitional Cell Papilloma/Ringertz Tumour:
- This is the MC benign tumour of the nasal cavity.
- It is a benign but locally invasive tumour.
Clinical Features:
- It is seen more commonly in men.
- It is seen mostly in the age group of 40-70 years.
- Association with HPV (human papillomavirus) has been found.
- It arises from the lateral wall of the nose and is usually unilateral.
- The patient presents with unilateral nasal obstruction and unilateral epistaxis.
On examination:
- It appears like a pale polypoidal lesion with a papillary appearance that protrudes from the middle meatal area.
- On histopathologic examination, there is a proliferation of epithelium with finger-like inversions into the underlying stroma because of which it is known as inverted papilloma.
- It is premalignant with 5-15% risk of developing squamous cell carcinoma.
Treatment:
- Treatment consists of wide excision of the tumour by lateral rhinotomy (by giving incision in the naso-facial crease) or midfacial degloving approach (by giving sub-labial incision from one molar to the other and raising the skin flap over the cheek and nose).
- Chances of its recurrence are very high.
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