An unusual localization of fungiform papilloma

Yıl 2010, Cilt: 20 Sayı: 4, 214 - 217, 20.08.2010

Emine Aydın Eren Taştan Filiz Aydoğan Muzaffer Çaydere

Öz

In this article, we presented a 54-year-old male who was admitted with complaints of nasal obstruction with snoring and mouth breathing for one year. Anterior rhinoscopy revealed a mass arising from the inferior nasal concha on the left side. After computed tomography evaluation, endoscopic examination and incisional biopsy, the mass was removed en bloc endoscopically. The histopathological analysis resulted in a diagnosis of a fungiform papilloma. Fungiform papillomas arise almost exclusively on the nasal septum, while inverted papillomas predominantly affect the lateral nasal wall. To our knowledge, no previous report of fungiform papilloma involving the inferior concha has been published in the English literature.

Anahtar Kelimeler

Nasal concha, nasal papilloma, Schneiderian papillomas

Fungiform papillomanın nadir bir yerleşimi

Öz

Bu yazıda, bir yıldır ağızdan nefes alma ve horlama ile birlikte burun tıkanıklığı yakınmaları ile başvu- ran 54 yaşında bir erkek olgu sunuldu. Anteriyor rinoskopi ile sol tarafta inferiyor nazal konkadan kaynaklanan kitle varlığı açığa çıkarıldı. Bilgisayarlı tomografi incelemesi, endoskopik muayene ve insizyonel biyopsi sonrasında kitle endoskopik yöntemle bir bütün olarak çıkarıldı. Histopatolojik analiz sonucu fungiform papilloma tanısı konuldu. İnverted papillomalar belirgin olarak lateral nazal duvarı turarken, fungiform papillomalar hemen hemen yalnızca nazal septumdan kaynaklanır. Bizim bilgimize göre, İngilizce literatürde inferiyor konkayı tutan fungiform papillomanın bildirisi daha önce yayınlanmamıştır

Anahtar Kelimeler

Nasal konka, nasal papilloma, Schneiderian papilloma

Kaynakça

• Weiner JS, Sherris D, Kasperbauer J, Lewis J, Li H, Persing D. Relationship of human papillomavirus to Schneiderian papillomas. Laryngoscope 1999;109:21-6.
• Barnes L, Tse LLY, Hunt JL. Schneiderian papillomas. In: Barnes L, Eveson JW, Reichart P, Sidransky D, edi- tors. Pathology and genetics of head and neck tumours (IARC WHO Classification of Tumours). 1st ed. Lyon: IARC Pres; 2005. p. 28-32.
• Mills SE. The nose, paranasal sinuses and nasophar- ynx. In: Mills SE, Carter D, Greenson JK, Oberman HA, editors. Sternberg’s diagnostic surgical pathology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 970-3.
• Batsakis JG, Suarez P. Schneiderian papillomas and carcinomas: a review. Adv Anat Pathol 2001;8:53-64.
• Deitmer T, Wiener C. Is there an occupational etiology of inverted papilloma of the nose and sinuses? Acta Otolaryngol 1996;116:762-5.
• Judd R, Zaki SR, Coffield LM, Evatt BL. Sinonasal papillomas and human papillomavirus: human papil- lomavirus 11 detected in fungiform Schneiderian pap- illomas by in situ hybridization and the polymerase chain reaction. Hum Pathol 1991;22:550-6.
• Sarkar FH, Visscher DW, Kintanar EB, Zarbo RJ, Crissman JD. Sinonasal Schneiderian papillomas: human papillomavirus typing by polymerase chain reaction. Mod Pathol 1992;5:329-32.
• Gaffey MJ, Frierson HF, Weiss LM, Barber CM, Baber GB, Stoler MH. Human papillomavirus and Epstein- Barr virus in sinonasal Schneiderian papillomas. An in situ hybridization and polymerase chain reaction study. Am J Clin Pathol 1996;106:475-82.
• Sham CL, Woo JK, van Hasselt CA. Endoscopic resec- tion of inverted papilloma of the nose and paranasal sinuses. J Laryngol Otol 1998;112:758-64.
• Capaccio P, Ottaviani F, Cuccarini V, Corbellino M, Parravicini C, Menzo S, et al. Surgery and topic cidofovir for nasal squamous papillomatosis in HIV+ patient. Eur Arch Otorhinolaryngol 2009;266:937-9.
• Shemen LJ, Shnayder Y. Office-based intralesional cidofovir injections for nasal septal papilloma: a pilot study. Otolaryngol Head Neck Surg 2006;135:149-51.