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Primary Inverted Papilloma of Middle Ear and Mastoid: A Rare Case Report
1Post Graduate Trainee, Department of Radiotherapy, Assam Medical College and Hospital , Dibrugarh, India .
Abstract:
Inverted papilloma or Schneiderian papilloma arising primarily from middle ear and mastoid is a very rare entity. It is a benign and locally aggressive condition, with increased risk of recurrence and malignant transformation. Surgery is the primary treatment. Radiation therapy should be considered in case of malignant transformation, recurrent or inoperable disease. Here we are reporting a case of recurrent inverted papilloma with dysplastic changes arising from mastoid cavity in a 60-year-old male. The patient was treated with surgery followed by radiotherapy.
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.
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