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January 1980

Inverted Papilloma

Author Affiliations

From the Massachusetts Eye and Ear Infirmary, Boston.

Arch Otolaryngol. 1980;106(1):54-61. doi:10.1001/archotol.1980.00790250056012

William R. Wilson, MD: We are reporting five interesting cases of inverted papilloma that have been treated recently at the Massachusetts Eye and Ear Infirmary (MEEI). The first patients have limited disease, the latter cases include problems of malignant degeneration and possible skin and orbital involvement.

CASE 1  Elaine D. Carrol, MD: A 48-year-old man had a three-year history of left-sided nasal blockage. The blockage was worse in the morning, associated with watery discharge, but not with epistaxis. On examination, he appeared to have a nasal polyp arising from the ethmoid region. This was removed with the patient under local anesthesia.Max L. Goodman, MD: Histological examination of the tissue showed a polypoid mass with an edematous stroma covered by a hyperplastic respiratory epithelium, with focal inverted nests of mucosa. In the hyperplastic respiratory mucosa were small microcysts containing mucus and occasional inflammatory cells. The edematous stroma contained scattered inflammatory