Primary Inverted Papilloma of Middle Ear and Mastoid: A Rare Case Report

Jyotiman Nath1, Bibhuti Das2

  • 1Post Graduate Trainee, Department of Radiotherapy, Assam Medical College and Hospital , Dibrugarh, India .

Insights

Inverted papilloma of the middle ear and mastoid is rare but locally aggressive. This case highlights successful treatment of recurrent inverted papilloma with dysplastic changes using surgery and radiotherapy.

Area of Science:

  • Otolaryngology
  • Pathology

Background:

  • Inverted papilloma, also known as Schneiderian papilloma, is a rare tumor originating in the middle ear and mastoid.
  • This benign neoplasm exhibits local aggressiveness, with a high propensity for recurrence and malignant transformation.

Observation:

  • A case report details a 60-year-old male with recurrent inverted papilloma showing dysplastic changes.
  • The tumor arose from the mastoid cavity.

Findings:

  • The patient underwent surgical resection of the recurrent inverted papilloma.
  • Postoperative radiotherapy was administered due to the presence of dysplastic changes and recurrence.

Implications:

  • This case underscores the importance of multimodal treatment for recurrent inverted papilloma with dysplasia.
  • Management strategies may involve surgery and radiation therapy to prevent further recurrence and malignant progression.