Survey of sinonasal inverted papillomata for Epstein-Barr virus

S T Dunn1, G D Clark, T C Cannon

  • 1Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City 73190, USA.

Head & Neck
|March 1, 1997
PubMed
Abstract

Insights

Epstein-Barr virus (EBV) is not a significant cause of sinonasal inverted papillomata (IP). This study found minimal evidence of EBV in IP lesions, challenging previous research.

Area of Science:

  • Otolaryngology
  • Virology
  • Pathology

Background:

  • Sinonasal inverted papillomata (IP) are tumors where a viral etiology has been suspected.
  • Previous research suggested a strong association between Epstein-Barr virus (EBV) and IP development (65% correlation).

Purpose of the Study:

  • To investigate the presence of Epstein-Barr virus (EBV) in sinonasal inverted papillomata (IP) and fungiform papillomata (FP).
  • To evaluate the role of EBV as an etiopathologic factor in sinonasal IP.

Main Methods:

  • Analysis of 25 surgically resected sinonasal IPs and 4 FPs using paraffin-embedded tissues.
  • Detection of EBV using sensitive in situ hybridization (ISH) assay and polymerase chain reaction (PCR).

Main Results:

  • No specimens showed evidence of EBV infection via ISH.
  • Only two papillomata (one IP, one FP) tested positive for EBV using PCR.

Conclusions:

  • The findings challenge previous reports linking EBV to sinonasal IP.
  • EBV is unlikely to be a significant etiopathologic factor in the development of sinonasal IP.