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A rare presentation of a paediatric sinonasal inverted papilloma

Nimeshi Jayakody1, Matthew Ward1, Giri Wijayasingham1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, UK.

Journal of Surgical Case Reports
|December 6, 2018
PubMed

Insights

Sinonasal inverted papilloma (IP), a rare benign tumor in children, can present with nasal symptoms. This case highlights the importance of accurate diagnosis and endoscopic surgery for pediatric IP management.

Area of Science:

  • Otolaryngology
  • Pediatric Oncology
  • Surgical Pathology

Background:

  • Sinonasal inverted papilloma (IP) is a rare benign neoplasm in the pediatric population.
  • Pediatric sinonasal tumors often present with nonspecific symptoms, complicating early diagnosis.

Observation:

  • An 11-year-old male presented with recurrent epistaxis, nasal obstruction, and a right nasal mass.
  • Initial differential diagnosis included nasopharyngeal angiofibroma.
  • Histological examination confirmed the diagnosis of inverted papilloma.

Findings:

  • Pediatric sinonasal inverted papilloma, though rare, must be considered in the differential diagnosis of childhood nasal masses.
  • Accurate histological examination is crucial for differentiating IP from other sinonasal pathologies.

Implications:

  • This case underscores the need for increased awareness of sinonasal inverted papilloma in children.
  • Endoscopic surgical management is effective for pediatric sinonasal inverted papilloma.
  • Early diagnosis and appropriate surgical intervention can improve outcomes for children with sinonasal inverted papilloma.

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