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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Updated: Jan 5, 2026

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Giant Rhinosinusal Inverted Papilloma.

A N Căpitănescu1, M R Mitroi1, C Foarfă2

  • 1Department of Otorhinolaryngology, University of Medicine and Pharmacy of Craiova, Romania.

Current Health Sciences Journal
|October 19, 2019
PubMed
Summary
This summary is machine-generated.

A giant sinonasal inverted papilloma was successfully removed via endoscopic surgery. This case highlights the importance of complete resection to prevent recurrence of this aggressive benign tumor.

Keywords:
Inverted papillomamalignancy potentialmedial maxillectomyrecurrences

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Area of Science:

  • Otolaryngology
  • Pathology

Background:

  • Sinonasal papillomas are benign tumors originating from the Schneiderian epithelium, with inverted, oncocytic, and exophytic subtypes.
  • Inverted papillomas are known for their rapid invasion and high recurrence rates.

Observation:

  • A 66-year-old male presented with a large, externally visible tumor protruding from the left nostril, accompanied by epistaxis, nasal obstruction, and anosmia.
  • CT imaging revealed a non-homogeneous, iodophilic tumor occupying the left nasal cavity, extending into the rhinopharynx and left maxillary sinus.

Findings:

  • The tumor was completely resected using endoscopic medial maxillectomy.
  • Histopathology confirmed an inverted papilloma with areas of low-grade dysplasia and oncocytic Schneiderian papilloma.

Implications:

  • Complete endoscopic resection is crucial for managing large sinonasal inverted papillomas.
  • Early and accurate diagnosis is vital due to the tumor's invasive potential and tendency for recurrence.