Poongkamali J, Arunkumar Anbarasan
Department of ENT, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Indian J Otolaryngol Head Neck Surg. 2025 Apr;77(4):1912-1915. doi: 10.1007/s12070-025-05407-6. Epub 2025 Mar 13.
Sinonasal Inverted Papilloma is known for its malignant change, recurrence, and local aggressiveness. Though the long-practised method of treatment is extensive local excision of the tumor, recent trends are changing towards endoscopic approaches. Our aim in presenting this case report is to add on to the literature regarding the ease of the endoscopic approach in managing an extensive IP where complete clearance was possible contradicting the older notion of requiring an extensive and radical open approach for complete clearance. We also aim to discuss the diagnostic challenge faced and management options in the diagnosis of IP when histopathology shows dysplastic changes.
鼻窦内翻性乳头状瘤以其恶变、复发和局部侵袭性而闻名。尽管长期以来采用的治疗方法是广泛的肿瘤局部切除，但最近的趋势正朝着内镜手术方法转变。我们撰写本病例报告的目的是补充文献，说明在内镜手术方法处理广泛的内翻性乳头状瘤时的便利性，在这种情况下可以实现完全切除，这与过去认为需要广泛的根治性开放手术才能完全切除的观念相矛盾。我们还旨在讨论当组织病理学显示发育异常改变时，在内翻性乳头状瘤诊断中面临的诊断挑战和管理选择。
