Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T05:03:38.458Z Has data issue: false hasContentIssue false
  • English
  • Français

Bilateral fungiform papilloma with synchronous verrucous carcinoma of the nasal septum: a rare presentation and a literature review

Published online by Cambridge University Press:  19 December 2011

T Maithani ,
D Dey ,
A Pandey  and
N Chawla
T Maithani*
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
D Dey
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
A Pandey
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
N Chawla
Affiliation:
Department of Pathology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India
*
Address for correspondence: Dr T Maithani, Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Mahant Indiresh Hospital, Patel Nagar, Dehradun, India Fax: 00 91 (0)135 2720151 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Aim:

Fungiform papillomas are benign mucosal neoplasms presenting as a unilateral exophytic mass involving the anterior portion of the nasal septum. In this study, we present an exceptional case of a bilateral fungiform papilloma with a synchronous verrucous carcinoma of the nasal septum.

Material and methods:

A case study with a review of the literature concerning malignant changes in fungiform papilloma.

Results:

The general consensus in most of the literature is that malignant change in fungiform papilloma is exceptional. Our patient is probably the third reported case of verrucous carcinoma of the nasal septum, and the first report of a bilateral fungiform papilloma with a synchronous verrucous carcinoma. The tumour was subjected to complete surgical removal in the first instance. There was no recurrence at follow up seven months after surgery.

Conclusion:

Although fungiform papillomas are generally not premalignant, occasional malignant transformation may occur. Thus, they must be managed with the utmost cautiousness.

Keywords

Nasal SeptumPapilloma, FungiformVerrucous CarcinomaPathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 4 , April 2012 , pp. 424 - 427
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Norris, HJ. Papillary lesions of the nasal cavity and paranasal sinuses. Part I. Exophytic (squamous) papillomas. A study of 28 cases. Laryngoscope 1962;72:1784–97CrossRefGoogle Scholar
2Lampertico, P, Russell, WO, MacComb, WS. Squamous papilloma of the upper respiratory epithelium. Arch Pathol 1963;75:293–302Google ScholarPubMed
3Cheng, TY, Ueng, SH, Chen, YL, Chang, KP, Chen, TM. Oncocytic schneiderian papilloma found in a recurrent chronic paranasal sinusitis. Chang Gung Med J 2006;29:336–41Google Scholar
4Barnes, L, Tse, LLY, Hunt, JL, Brandwein, GM, Curtin, HD, Boeffetta, P. Tumors of the nasal cavity and paranasal sinuses. In: Barnes, L, Eveson, JW, Riechart, P, Sidransky, D, eds. Pathology & Genetics of Head and Neck Tumors. World Health Organization Classification of Tumors. Lyon: IARC Press, 2005;29–32Google Scholar
5Zarbo, RJ, Torres, FX, Gomez, J. Nasal cavity and paranasal sinuses – embryology, anatomy, histology and pathology. In: Pilch, Ben Z, ed. Head and Neck Surgical Pathology. Philadelphia: Lippincott Williams & Wilkins, 2000;106–9Google Scholar
6Sarkar, FH, Visscher, DW, Kintanar, EB, Zarbo, RJ, Crissman, JD. Sinonasal Schneiderian papillomas: human papilloma virus typing by polymerase chain reaction. Modern Pathology 1992;5:329–32Google Scholar
7Hyams, VJ. Papillomas of the nasal cavity and paranasal sinuses: a clinicopathological study of 315 cases. Ann Otol Rhinol Laryngol 1971;80:192–206Google Scholar
8Michaels, L, Hellquist, HB. Papilloma. In: Michaels, L, ed. Ear Nose and Throat Histopathology, 2nd edn. London: Springer-Verlag, 2001;177–9CrossRefGoogle Scholar
9Batsakis, JG, Sciubba JJ. Pathology. In: Blitzer, A, Lawson, W, Friedman, WH, eds. Surgery of the Paranasal Sinuses, 2nd edn. Philadelphia: W B Saunders, 1991;129–31Google Scholar
10Lewis, JS. Nasal cavity, paranasal sinuses and nasopharynx. In: Humphrey, PA, Dehner, LP, Pfeifer, JD, eds. Washington Manual of Surgical Pathology. Philadelphia: Lippincott Williams & Wilkins, 2008;35–8Google Scholar
11Buchwald, C, Franzman, MB, Toss, M. Sinonasal papillomas: a report of 82 cases in Copenhagen county, including longitudinal epidemiological and clinical study. Laryngoscope 1995;105:72–9CrossRefGoogle ScholarPubMed
12Pothula, VB, Jones, HS. Verrucous squamous carcinoma of the nasal septum. J Laryngol Otol 1998;112:172–3CrossRefGoogle ScholarPubMed