Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma

Inverted papilloma is the most common benign tumor of the paranasal sinuses with the possibility of malignant transformation. On the one hand, adenoid cystic carcinoma (ACC) is a rare malignant neoplasm that arises from the secretory glands. Sinonasal ACC accounts for 10%–25% of all head and neck AC...

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Autores principales: Yohei Takada, Mikiya Asako, Risaki Kawachi, Tomoko Takada, Hiroshi Iwai
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Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:6cf7a08ddbce4069ad5d8ebe8084c4da2021-11-04T14:40:31ZSinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma1662-657510.1159/000519437https://doaj.org/article/6cf7a08ddbce4069ad5d8ebe8084c4da2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519437https://doaj.org/toc/1662-6575Inverted papilloma is the most common benign tumor of the paranasal sinuses with the possibility of malignant transformation. On the one hand, adenoid cystic carcinoma (ACC) is a rare malignant neoplasm that arises from the secretory glands. Sinonasal ACC accounts for 10%–25% of all head and neck ACC. This neoplasm is defined by its distinctive histologic appearance. Surgical resection, whenever possible, is the mainstay therapy. An association between inverted papilloma and malignancy is controversial. A synchronous carcinoma has been established at diagnosis in 3.3%–11% of cases, and the risk of metachronous carcinoma is <3%. We report a case of an 84-year-old female affected with sinonasal inverted papilloma associated with synchronous ACC. She had right nasal obstruction due to the rapid growth of the tumor. She was referred to our department for further workup. A frozen biopsy revealed part of the tumor as ACC. The tumor was consistent with preoperative imaging, and surgical findings also showed infiltration into the orbit. There was no consent for radical surgery with orbital exenteration and adjuvant chemoradiotherapy in consideration of her advanced age. This is the first case report of the association between sinonasal inverted papilloma and ACC within our retrieval capability.Yohei TakadaMikiya AsakoRisaki KawachiTomoko TakadaHiroshi IwaiKarger Publishersarticleinverted papillomaadenoid cystic carcinomamalignant transformationsynchronous carcinomaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1429-1434 (2021)
institution DOAJ
collection DOAJ
language EN
topic inverted papilloma
adenoid cystic carcinoma
malignant transformation
synchronous carcinoma
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle inverted papilloma
adenoid cystic carcinoma
malignant transformation
synchronous carcinoma
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Yohei Takada
Mikiya Asako
Risaki Kawachi
Tomoko Takada
Hiroshi Iwai
Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma
description Inverted papilloma is the most common benign tumor of the paranasal sinuses with the possibility of malignant transformation. On the one hand, adenoid cystic carcinoma (ACC) is a rare malignant neoplasm that arises from the secretory glands. Sinonasal ACC accounts for 10%–25% of all head and neck ACC. This neoplasm is defined by its distinctive histologic appearance. Surgical resection, whenever possible, is the mainstay therapy. An association between inverted papilloma and malignancy is controversial. A synchronous carcinoma has been established at diagnosis in 3.3%–11% of cases, and the risk of metachronous carcinoma is <3%. We report a case of an 84-year-old female affected with sinonasal inverted papilloma associated with synchronous ACC. She had right nasal obstruction due to the rapid growth of the tumor. She was referred to our department for further workup. A frozen biopsy revealed part of the tumor as ACC. The tumor was consistent with preoperative imaging, and surgical findings also showed infiltration into the orbit. There was no consent for radical surgery with orbital exenteration and adjuvant chemoradiotherapy in consideration of her advanced age. This is the first case report of the association between sinonasal inverted papilloma and ACC within our retrieval capability.
format article
author Yohei Takada
Mikiya Asako
Risaki Kawachi
Tomoko Takada
Hiroshi Iwai
author_facet Yohei Takada
Mikiya Asako
Risaki Kawachi
Tomoko Takada
Hiroshi Iwai
author_sort Yohei Takada
title Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma
title_short Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma
title_full Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma
title_fullStr Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma
title_full_unstemmed Sinonasal Inverted Papilloma Associated with Adenoid Cystic Carcinoma
title_sort sinonasal inverted papilloma associated with adenoid cystic carcinoma
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/6cf7a08ddbce4069ad5d8ebe8084c4da
work_keys_str_mv AT yoheitakada sinonasalinvertedpapillomaassociatedwithadenoidcysticcarcinoma
AT mikiyaasako sinonasalinvertedpapillomaassociatedwithadenoidcysticcarcinoma
AT risakikawachi sinonasalinvertedpapillomaassociatedwithadenoidcysticcarcinoma
AT tomokotakada sinonasalinvertedpapillomaassociatedwithadenoidcysticcarcinoma
AT hiroshiiwai sinonasalinvertedpapillomaassociatedwithadenoidcysticcarcinoma
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