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Intracranial inverting papilloma

P J Miller1, J Jacobs, J T Roland

  • 1Department of Otolaryngology, New York University School of Medicine, New York 10016, USA.

Head & Neck
|September 1, 1996
PubMed
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Intracranial extension of benign inverted papilloma is rare, occurring in only 0.34% of cases. This study investigated the incidence and treatment of dural invasion by inverted papillomas without malignancy.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Pathology

Background:

  • Inverted papillomas typically arise from the nasal lateral wall, with rare extension into sinuses.
  • Intracranial extension and dural invasion are uncommon, often linked to malignant transformation.

Observation:

  • A literature review identified 1468 inverted papilloma cases.
  • Five cases (0.34%) demonstrated intracranial extension without malignancy.
  • One case showed histopathologically confirmed dural invasion.

Findings:

  • Benign inverted papilloma with intracranial extension and dural penetration is exceedingly rare.
  • Treatment modalities included surgery, radiotherapy, or combined approaches.
  • No established uniform treatment plan exists for this rare condition.

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Implications:

  • Highlights the rarity of benign inverted papilloma with intracranial invasion.
  • Suggests a need for further research into the pathophysiology and management strategies.
  • Emphasizes the importance of careful histopathological evaluation to rule out malignancy.