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Case Reports
. 2018 Nov 30;2018(11):rjy321.
doi: 10.1093/jscr/rjy321. eCollection 2018 Nov.

A rare presentation of a paediatric sinonasal inverted papilloma

Nimeshi Jayakody  1 , Matthew Ward  1 , Giri Wijayasingham  1 , Darren Fowler  2 , Philip Harries  1 , Rami Salib  1
Affiliations
Case Reports

A rare presentation of a paediatric sinonasal inverted papilloma

Nimeshi Jayakody et al. J Surg Case Rep. .

Abstract

Sinonasal inverted papilloma (IP) is a benign tumour with an extremely low incidence in children. We report the case of an 11-year-old Caucasian male presenting with recurrent right-sided epistaxis, nasal obstruction and a mass in the right nasal cavity. An initial diagnosis of a nasopharyngeal angiofibroma was considered; however, on detailed histological examination, the mass was found to be an inverted papilloma. This report aims to increase awareness of IP in the paediatric age group, as well as reinforcing the role of endoscopic surgery in the management of this condition.

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Figures

Figure 1:
Figure 1:
Coronal computed tomography (bone window) image showing a right-sided antrochoanal mass (white asterisk) extending in to the maxillary and ethmoidal sinuses.
Figure 2:
Figure 2:
Coronal STIR sequence magnetic resonance image taken as part of the diagnostic investigations, showing the same antrochoanal mass (white asterisk) showing extension into the nasal cavity. L, left; R, right.
Figure 3:
Figure 3:
Medium power photomicrograph showing benign proliferative papillomatous type lesion with oedematous stroma and inflammation. There is invagination of the epithelium into the stroma (black asterisk) (H&E; ×20).
See this image and copyright information in PMC

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