Oncocytic schneiderian papilloma: a rare sinonasal papilloma removed via endoscopic medial maxillectomy
There are three types of papilloma which arises from the Schneiderian membrane namely inverted, fungiform and oncocytic. Oncocytic papilloma is the rarest type and occurs predominantly in the older age group. Clinically, its behaviour is similar to inverted papilloma in having both local recurren...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Penerbit UKM
2010
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| Online Access: | http://journalarticle.ukm.my/2082/ http://journalarticle.ukm.my/2082/ http://journalarticle.ukm.my/2082/1/08MS090_4144.pdf |
| Summary: | There are three types of papilloma which arises from the Schneiderian membrane
namely inverted, fungiform and oncocytic. Oncocytic papilloma is the rarest type and
occurs predominantly in the older age group. Clinically, its behaviour is similar to
inverted papilloma in having both local recurrence and associated malignancy. We
report a rare case of oncocytic papilloma arising from the maxillary sinus, extending
into the nasal cavity and nasopharynx, in a 78-year-old lady. Despite the longstanding
history there was no evidence of associated malignancy in this lesion. An endoscopic
medial maxillectomy was successfully utilized for approach and complete tumour
excision. In conclusion, oncocytic papilloma should be considered as a differential
diagnosis in patients presenting with unilateral polypoid nasal lesions especially in the
elderly. In addition, endoscopic medial maxillectomy can provide an adequate
approach for complete tumour removal. |
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