| Samenvatting: | An inverted papilloma is a medical condition in which epithelial cells
placed on the surface grow in depth into the underlying supporting tissue.
The case of a 68-year-old man with a 6-month history of right-sided
complete nasal obstruction, who was referred to the ENT Department of
our hospital, is presented. The associated symptoms were represented by
repeated epistaxis, rhinorrhea and anosmia. From a clinical point of view,
a polypous reddish-gray irregular mass, with cauliflower-like appearance,
has been described. The formation was friable, richly vascularized, and
with minor bleeding on light touch. The patient was diagnosed with
inverted papilloma which was treated by endoscopic surgery. By analyzing
the clinical, histochemical and immunohistochemical aspects of this case,
the cause of tumor growth and its potential for malignant transformation
were established. Many particularities are presented in this article:
increased regional aggressiveness, its ethmoidal sinus origin, specific
symptomatology, paraclinical examinations, all of which were useful in
choosing a customized therapy and follow-up program.
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