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Inverted Papilloma: A Practical Approach to Diagnosis, Management, and Current Controversies
1Department of ENT-HNS, Kathmandu University Hospital, Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Kathmandu University Medical Journal (KUMJ)
|August 30, 2024
Summary
Inverted papilloma (IP) is a rare sinonasal tumor with aggressive behavior and high recurrence risk. Treatment involves surgery, with endoscopic or external approaches depending on tumor extent, and requires diligent follow-up for recurrence detection.
Area of Science:
- Otolaryngology
- Oncology
- Pathology
Background:
- Inverted papilloma (IP) is an uncommon sinonasal tumor.
- It exhibits locally aggressive behavior, high recurrence rates, and malignant transformation potential.
- Human papillomavirus (HPV) is implicated in up to 40% of cases, though etiology is unclear.
Purpose of the Study:
- To summarize the key characteristics of inverted papilloma.
- To outline current treatment strategies and follow-up protocols for sinonasal inverted papilloma.
Main Methods:
- Review of existing literature on sinonasal inverted papilloma.
- Analysis of epidemiological, etiological, clinical, and therapeutic aspects.
Main Results:
- IP primarily affects middle-aged adults.
- Surgical intervention is the primary treatment modality.
- Treatment approach (endoscopic vs. external) depends on tumor characteristics and extent.
Conclusions:
- IP requires surgical management with tailored approaches.
- Long-term, rigorous follow-up is essential for early detection of recurrence.
- Understanding IP's behavior is crucial for effective patient management.
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