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A comparative study of cytomorphological subtypes of Schneiderian papilloma

Shrinivas S Chavan, Dnyanoba Chokhoba Somwanshi, Pallavi Sapale, Manu S Babu, Ajinkya Kedari.




Abstract
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Background: Nasal papilloma (NP) is a well recognized but a rare nasal tumor, representing 0.5-4% of all sinonasal tumors. It has eluded otorhinolaryngologists regarding its etiology and histopathologists regarding its tissue component.

Objective: The objective is to study the various cytomorphological subtypes of Schneiderian papilloma (SP) along with their occurrence, recurrence, and malignant transformation.

Materials and Methods: This prospective observational study was conducted by Department of Otorhinolaryngology in collaboration with Department of Pathology of Government Medical College and Hospital, Miraj and Aurangabad from a period of August 2014 to December 2016. All patients of nasal mass after detailed anesthetic evaluation and radiological investigation underwent surgery and the mass were sent for histopathology.

Results: In this case series of 25 patients of SP, we encountered 17 cases of Inverted papilloma, 5 cases of Cylindrical (Transitional) Cell Carcinoma (CCC), and 3 rare cases of Everted papilloma (EP).

Conclusion: SP although benign is well known for its propensity to recur and malignant transformation in a few of subtypes of NP.

Key words: Nasal Papilloma; Inverted Papilloma; Cylindrical Cell Carcinoma; Transitional Cell Carcinoma; Everted Papilloma






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