Inverted papilloma

Inverted papilloma
Classification and external resources
Micrograph of an inverted papilloma of the urinary bladder. H&E stain.
ICD-O:	8053/0

An inverted papilloma is a type of tumor in which surface epithelial cells grow downward into the underlying supportive tissue. It may occur in the nose and/or sinuses or in the urinary tract (bladder, renal pelvis, ureter, urethra). When it occurs in the nose or sinuses, it may cause symptoms similar to those caused by sinusitis, such as nasal congestion. When it occurs in the urinary tract, it may cause blood in the urine.

Diagnosis By MRI

Inverted papillomas are definitively diagnosed by histologic examination. However, Magnetic Resonanace Imaging (MRI) may show a characteristic feature described as a Convoluted Cerebriform Pattern (CCP). A retrospective study published in the American Journal of Neuroradiology concluded that identification of CCP by MRI in a patient with a nasal tumor made the diagnosis of Inverted papilloma quite likely. The study reported the sensitivity and specificity to be 100% and 87% respectively. CCP can be associated with other malignant tumors as well.

External links

• Inverted papilloma entry in the public domain NCI Dictionary of Cancer Terms

Additional images

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  Histopathology representing an inverted papilloma of the urinary bladder that was cystoscopically resected. Hematoxylin and eosion stain.

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  Histopathology representing an inverted papilloma of the urinary bladder that was cystoscopically resected. Hematoxylin and eosion stain.

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  Histopathology representing an inverted papilloma of the urinary bladder that was cystoscopically resected. Hematoxylin and eosion stain.

• Its a benign tumor but after resection various segments of it should be examined to rule out insitu/ squmous cell tumor
• Other names - Ringertz tumor , Transitional cell neoplasm , Shnedarien papilloma , Sinus papilamatosis, cylindrical cell neoplasm
• Treatment - complete removal of the tumor along with medial maxillectomy
• Approaches - lateral rhinotomy , midfacial degloving , endoscopic medial maxillectomy
• Recurrence rate - 9% app after a complete removal of tumor

 This article incorporates public domain material from the U.S. National Cancer Institute document "Dictionary of Cancer Terms".