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Inverted papilloma of the nose and paranasal sinuses in children

A J D'Angelo1, A Marlowe, F I Marlowe

  • 1Division of Otolaryngology, Head and Neck Surgery, Medical College of Pennsylvania, Philadelphia 19129.

Ear, Nose, & Throat Journal
|June 11, 1992
PubMed

Insights

Inverted papillomas, rare nasal tumors in children, share aggressive traits with adult cases, including recurrence and malignant changes. Effective treatment involves wide surgical excision and lifelong monitoring for these pediatric sinonasal neoplasms.

Area of Science:

  • Otolaryngology
  • Pediatric Oncology
  • Surgical Pathology

Background:

  • Inverted papillomas (IPs) are uncommon neoplasms affecting the nasal cavity and paranasal sinuses.
  • While frequently diagnosed in adults, their occurrence in children presents unique challenges due to potential for aggressive behavior.

Observation:

  • Pediatric sinonasal inverted papillomas exhibit biological characteristics similar to adult counterparts.
  • These include a notable frequency of tumor recurrence and the potential for malignant transformation.

Findings:

  • Treatment strategies effective in adults are recommended for pediatric inverted papillomas.
  • This includes wide surgical excision and thorough histopathological examination of excised tissue.

Implications:

  • Radiation therapy is reserved for inverted papillomas associated with carcinoma.
  • Lifelong follow-up is essential due to the possibility of late recurrences in pediatric inverted papilloma patients.

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