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Related Experiment Videos

Inverted papilloma invading the orbit.

Mandeep S Bajaj1, Neelam Pushker

  • 1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Orbit (Amsterdam, Netherlands)
|May 25, 2002
PubMed
Summary

Inverted papilloma invading the orbit is rare. This case highlights the challenges of surgical removal and the potential benefit of radiotherapy for this locally aggressive tumor.

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Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Oncology

Background:

  • Inverted papilloma (IP) is an uncommon sinonasal tumor.
  • Orbital invasion by IP presents unique diagnostic and therapeutic challenges.

Observation:

  • A 33-year-old male presented with a medial canthal mass, proptosis, vision loss, epiphora, and nasal obstruction.
  • Imaging revealed extensive sinonasal IP with orbital invasion and bone destruction.
  • Previous surgeries resulted in tumor recurrence.

Findings:

  • Surgical excision via lateral rhinotomy was performed.
  • Histopathology confirmed inverted papilloma with focal transformation to transitional cell carcinoma.
  • Post-operative imaging showed residual tumor, which responded well to radiotherapy, with no recurrence at six months.

Implications:

  • Orbital-invading IPs are locally aggressive and prone to recurrence.
  • Complete surgical excision is often difficult.
  • Radiotherapy may be a valuable adjunct to surgery for managing these complex cases.

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