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Nasopharyngeal cylindrical cell papilloma.
A Chrysovergis1, J Paschalidis, L Michaels
1First Department of Otolaryngology - Head and Neck Surgery, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece.
The Journal of Laryngology and Otology
|October 15, 2010
Summary
Cylindrical cell papillomas, rare sinonasal tumors, can cause eustachian tube obstruction in adults. Wide endoscopic excision is recommended for effective treatment and to rule out coexistent carcinoma.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Pathology
Background:
- Cylindrical cell papillomas are uncommon neoplasms typically found in the sinonasal area.
- This case highlights a rare occurrence in the nasopharynx.
Observation:
- A 56-year-old male presented with a four-month history of right-sided hearing loss, otalgia, vertigo, and tinnitus.
- A soft, nodular lesion was identified, obstructing the right eustachian tube opening.
Findings:
- The lesion was diagnosed as a nasopharyngeal cylindrical cell papilloma.
- Wide endoscopic excision was performed as the treatment modality.
Implications:
- Cylindrical cell papilloma should be considered in the differential diagnosis of adult eustachian tube obstruction.
- Prompt and complete surgical resection is crucial to prevent recurrence and detect any associated malignancy.
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