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Inverted Papilloma Originating Primarily from the Nasolacrimal Duct: A Case Report and Review of the Pertinent Literature.

Walijee HZ, Berry S, Quine S, Lane C, Morris DS, Bowman B - Case Rep Otolaryngol (2015)

Bottom Line: Case.The patient made an uneventful recovery with unchanged visual acuity and normal extraocular movements.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant CF72 8XR, UK.

ABSTRACT
Introduction. Inverted papilloma (IP) is an uncommon, benign yet aggressive neoplasm characterised by high recurrence rates and tendency towards malignant transformation. The majority of IP cases originate in the ethmoid region, lateral wall of the nasal fossa, and maxillary sinus. The authors report a case of an IP originating primarily from the nasolacrimal duct (NLD). Case. A 69-year-old Caucasian gentleman presented with a lump in his right medial canthal region, epiphora, and discharge bilaterally. Radiological investigation revealed a well-defined, heterogeneous mass within the proximal NLD eroding the bony canal, protruding into the middle meatus and into the right orbit. The tumour was excised en bloc utilizing a combined external and endoscopic approach based on its location. Histology revealed hyperplastic ribbons of basement membrane-enclosed epithelium growing endophytically into the underlying stroma with no evidence of invasive malignancy. The patient made an uneventful recovery with unchanged visual acuity and normal extraocular movements. Conclusion. The case demonstrates variability within the sinonasal tract that IP can develop and the individuality of each case necessitating tailored operative techniques for complete excision whilst minimising recurrence rates. We also present a combined endoscopic approach for the en bloc resection of a NLD IP with no clinical recurrence at 15-month follow-up.

No MeSH data available.


Related in: MedlinePlus

CT sinuses: axial section showing the lesion within the right nasolacrimal duct with evidence of bony remodelling.
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fig2: CT sinuses: axial section showing the lesion within the right nasolacrimal duct with evidence of bony remodelling.

Mentions: Computed Tomography (CT) of the orbits revealed a 2 cm round well-defined, heterogeneously enhancing soft tissue mass within the proximal right NLD causing pressure erosion and thinning of the bony canal, protruding medially into the middle meatus and laterally into the right orbit (Figures 1 and 2).


Inverted Papilloma Originating Primarily from the Nasolacrimal Duct: A Case Report and Review of the Pertinent Literature.

Walijee HZ, Berry S, Quine S, Lane C, Morris DS, Bowman B - Case Rep Otolaryngol (2015)

CT sinuses: axial section showing the lesion within the right nasolacrimal duct with evidence of bony remodelling.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663298&req=5

fig2: CT sinuses: axial section showing the lesion within the right nasolacrimal duct with evidence of bony remodelling.
Mentions: Computed Tomography (CT) of the orbits revealed a 2 cm round well-defined, heterogeneously enhancing soft tissue mass within the proximal right NLD causing pressure erosion and thinning of the bony canal, protruding medially into the middle meatus and laterally into the right orbit (Figures 1 and 2).

Bottom Line: Case.The patient made an uneventful recovery with unchanged visual acuity and normal extraocular movements.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant CF72 8XR, UK.

ABSTRACT
Introduction. Inverted papilloma (IP) is an uncommon, benign yet aggressive neoplasm characterised by high recurrence rates and tendency towards malignant transformation. The majority of IP cases originate in the ethmoid region, lateral wall of the nasal fossa, and maxillary sinus. The authors report a case of an IP originating primarily from the nasolacrimal duct (NLD). Case. A 69-year-old Caucasian gentleman presented with a lump in his right medial canthal region, epiphora, and discharge bilaterally. Radiological investigation revealed a well-defined, heterogeneous mass within the proximal NLD eroding the bony canal, protruding into the middle meatus and into the right orbit. The tumour was excised en bloc utilizing a combined external and endoscopic approach based on its location. Histology revealed hyperplastic ribbons of basement membrane-enclosed epithelium growing endophytically into the underlying stroma with no evidence of invasive malignancy. The patient made an uneventful recovery with unchanged visual acuity and normal extraocular movements. Conclusion. The case demonstrates variability within the sinonasal tract that IP can develop and the individuality of each case necessitating tailored operative techniques for complete excision whilst minimising recurrence rates. We also present a combined endoscopic approach for the en bloc resection of a NLD IP with no clinical recurrence at 15-month follow-up.

No MeSH data available.


Related in: MedlinePlus