Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa

An inverted papilloma is a medical condition in which epithelial cells placed on the surface grow in depth into the underlying supporting tissue. The case of a 68-year-old man with a 6-month history of right-sided complete nasal obstruction, who was referred to the ENT Department of our hospital...

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Main Authors: Irina Enache, Florin Anghelina, Mircea-Sorin Ciolofan, Carmen Aurelia Mogoantă, Alex Emilian Stepan, Ioana-Cristina Vîlcea, Cosmin Vasile Obleagă, Andrei Osman
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Journal of Mind and Medical Sciences
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Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1508&context=jmms
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author Irina Enache
Florin Anghelina
Mircea-Sorin Ciolofan
Carmen Aurelia Mogoantă
Alex Emilian Stepan
Ioana-Cristina Vîlcea
Cosmin Vasile Obleagă
Andrei Osman
author_facet Irina Enache
Florin Anghelina
Mircea-Sorin Ciolofan
Carmen Aurelia Mogoantă
Alex Emilian Stepan
Ioana-Cristina Vîlcea
Cosmin Vasile Obleagă
Andrei Osman
author_sort Irina Enache
collection DOAJ
description An inverted papilloma is a medical condition in which epithelial cells placed on the surface grow in depth into the underlying supporting tissue. The case of a 68-year-old man with a 6-month history of right-sided complete nasal obstruction, who was referred to the ENT Department of our hospital, is presented. The associated symptoms were represented by repeated epistaxis, rhinorrhea and anosmia. From a clinical point of view, a polypous reddish-gray irregular mass, with cauliflower-like appearance, has been described. The formation was friable, richly vascularized, and with minor bleeding on light touch. The patient was diagnosed with inverted papilloma which was treated by endoscopic surgery. By analyzing the clinical, histochemical and immunohistochemical aspects of this case, the cause of tumor growth and its potential for malignant transformation were established. Many particularities are presented in this article: increased regional aggressiveness, its ethmoidal sinus origin, specific symptomatology, paraclinical examinations, all of which were useful in choosing a customized therapy and follow-up program.
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spelling doaj-art-32eff2d3804f44a0b4b5038b51b39ab32025-08-20T03:18:44ZengMDPI AGJournal of Mind and Medical Sciences2392-76742024-10-0111254154610.22543/2392-7674.1508Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossaIrina Enache0Florin Anghelina1Mircea-Sorin Ciolofan2Carmen Aurelia Mogoantă3Alex Emilian Stepan4Ioana-Cristina Vîlcea5Cosmin Vasile Obleagă6Andrei Osman7Craiova University of Medicine and Pharmacy, Faculty of Medicine, Department of Anatomy and Embryology, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of ENT, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of ENT, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of ENT, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of Pathology, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of Pathology, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, Craiova, RomaniaCraiova University of Medicine and Pharmacy, Faculty of Medicine, Department of Anatomy and Embryology, Craiova, RomaniaAn inverted papilloma is a medical condition in which epithelial cells placed on the surface grow in depth into the underlying supporting tissue. The case of a 68-year-old man with a 6-month history of right-sided complete nasal obstruction, who was referred to the ENT Department of our hospital, is presented. The associated symptoms were represented by repeated epistaxis, rhinorrhea and anosmia. From a clinical point of view, a polypous reddish-gray irregular mass, with cauliflower-like appearance, has been described. The formation was friable, richly vascularized, and with minor bleeding on light touch. The patient was diagnosed with inverted papilloma which was treated by endoscopic surgery. By analyzing the clinical, histochemical and immunohistochemical aspects of this case, the cause of tumor growth and its potential for malignant transformation were established. Many particularities are presented in this article: increased regional aggressiveness, its ethmoidal sinus origin, specific symptomatology, paraclinical examinations, all of which were useful in choosing a customized therapy and follow-up program. https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1508&context=jmmsinverted papillomaendoscopicimmunohistochemistrymalignant transformationregional aggressivity
spellingShingle Irina Enache
Florin Anghelina
Mircea-Sorin Ciolofan
Carmen Aurelia Mogoantă
Alex Emilian Stepan
Ioana-Cristina Vîlcea
Cosmin Vasile Obleagă
Andrei Osman
Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
Journal of Mind and Medical Sciences
inverted papilloma
endoscopic
immunohistochemistry
malignant transformation
regional aggressivity
title Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
title_full Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
title_fullStr Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
title_full_unstemmed Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
title_short Endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
title_sort endoscopic and immunohistochemical aspects in an inverted papilloma with unilateral total obstruction of the nasal fossa
topic inverted papilloma
endoscopic
immunohistochemistry
malignant transformation
regional aggressivity
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1508&context=jmms
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