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Inverted papillomas that invade the orbit

V M Elner1, M A Burnstine, M L Goodman

  • 1Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, USA.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|September 1, 1995
PubMed
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Inverted papillomas (IPs) invading the orbit are aggressive tumors with a high rate of malignancy and recurrence. Early, wide surgical excision offers the best chance for a cure in these challenging cases.

Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Oncology

Background:

  • Inverted papillomas (IPs) are uncommon epithelial tumors.
  • These tumors can arise in the nasal cavity, paranasal sinuses, and lacrimal sac.
  • Orbital invasion by IPs presents unique diagnostic and therapeutic challenges.

Purpose of the Study:

  • To describe clinical characteristics of 10 patients with orbital-invading IPs.
  • To review the world literature on IPs with orbital invasion.
  • To discuss treatment strategies and outcomes for these tumors.

Main Methods:

  • Retrospective case series of 10 patients with IPs invading the orbit.
  • Review of existing literature on IPs and orbital invasion.
  • Analysis of histopathology, treatment modalities, and patient outcomes.

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Main Results:

  • All 10 patients showed malignant transformation within the IP, with squamous cell carcinoma or transitional cell carcinoma.
  • Eight patients experienced recurrence after initial resection.
  • Eight patients required orbital exenteration for local disease control; three had intracranial spread.

Conclusions:

  • Inverted papillomas invading the orbit are highly malignant and locally aggressive.
  • These tumors have a high recurrence rate and challenging treatment course.
  • Early, wide surgical excision is recommended for optimal outcomes.