Isolated inverted papilloma of the sphenoid sinüs: a case report

Yıl 2006, Cilt: 16 Sayı: 1, 41 - 44, 13.01.2006

Fikret İleri Alper Ceylan Sabri Uslu Korhan Asal

Öz

İnverted papilloma is a rare benign sinonasal tumor, characterized by a potentially invasive nature. The lateral nasal wall represents the most common site of origin, whereas paranasal sinuses are frequently involved by extension. İn contrast, primary sinüs inverted papillomas have rarely been reported. The present study describes a 52-year-old man present- ed with a one-year history of unilateral nasal obstruc- tion, nasal discharge, epistaxis, occipital headache and decrease sense of smell. After nasal endoscop- ic examination, computed tomography was taken and endoscopic biopsy was performed which demonstrated isolated inverted papilloma of the left sphenoid sinüs. Tumor was taken via transnasal endoscopic sphenoidotomy approach. No evidence of recur-rent disease has been seen after 12 months of follow up and his symptoms were completely relieved. Endoscopic transnasal sphenoidotomy remains an effective treatment for these lesions.

Anahtar Kelimeler

İnverted papilloma, sphenoid sinüs

Sfenoid sinüsün izole inverted papillomu: Olgu sunumu

Öz

İnverted papilloma potansiyel invaziv özelliği olan, nadir görülen, benign sinonazal bir tümördür. Ge- nellikle lateral nazal duvardan köken alır ve sıklıkla yayılmaya bağlı olarak paranazal sinüsler tutulur. Buna karşın, pirimer sinüs kaynaklı ve özellikle sfe- noid sinüsten kaynaklanan inverted papillomlar ol- dukça nadirdir. Bu çalışmada 52 yaşında, bir yıldır tek taraflı burun tıkanıklığı, burun akıntısı, burun ka- naması, oksipital baş ağrısı ve koku almada azalma yakınmalarıyla başvuran bir olgu sunuldu. Hastaya yapılan nazal endoskopi sonrası çekilen bilgisayarlı tomografi ve biyopsi sonucunda izole sol sfenoid si- nüs inverted papilloma tanısı kondu. Endoskopik transnazal sfenoidotomi yaklaşımıyla tümör çıkarıl- dı. On iki aylık takipte hastanın semptomları tama- men düzeldi ve rekürren hastalıkla karşılaşılmadı. Endoskopik transnazal sfenoidotominin, bu tip lez- yonların tedavisinde etkili bir yöntem olduğunu dü- şünüyoruz

Anahtar Kelimeler

İnverted papilloma, sfenoid sinüs

Kaynakça

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