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Sinonasal carcinoma associated with inverted papilloma: a report of 16 cases

 Kyubo Kim  ;  Dowhan Kim  ;  Yongcheol Koo  ;  Chang-Hoon Kim  ;  Eun Chang Choi  ;  Jeung-Gweon Lee  ;  Joo-Heon Yoon 
 Journal of Cranio-maxillo-facial Surgery, Vol.40(4) : 125-129, 2012 
Journal Title
 Journal of Cranio-maxillo-facial Surgery 
Issue Date
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Carcinoma/pathology* ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Transitional Cell/pathology ; Cause of Death ; Disease-Free Survival ; Ethmoid Sinus/pathology ; Female ; Follow-Up Studies ; Frontal Sinus/pathology ; Humans ; Male ; Maxillary Sinus Neoplasms/pathology ; Middle Aged ; Neoplasm Recurrence, Local/pathology ; Neoplasm Staging ; Neoplasms, Multiple Primary/pathology* ; Neoplasms, Second Primary/pathology ; Nose Neoplasms/pathology* ; Papilloma, Inverted/pathology* ; Paranasal Sinus Neoplasms/pathology* ; Prognosis ; Retrospective Studies ; Survival Rate ; Treatment Outcome ; Young Adult
Carcinoma ; Inverted papilloma ; Synchronous ; Frontal sinus ; Survival ; T stage
OBJECTIVES: To analyse the characteristics and outcome of patients with carcinoma associated with inverted papilloma, and find predictors of associated malignancy. METHODS: The medical records of 228 patients who were diagnosed with IP between January 1990 and December 2010 were retrospectively reviewed. Out of 228 patients, 16 were also diagnosed with carcinoma. We evaluated their clinical characteristics, treatment modalities, and survival outcomes. RESULTS: The incidence of carcinoma associated with IP was 7.0%. Fourteen were synchronous carcinomas and two were metachronous. Tumours arising inside the frontal sinus or the frontoethmoidal recess were more likely to be associated with carcinoma. Patients who had a stage of T2 or less had a much better outcome than those who had a stage of T3 or greater (disease-free period, 84.8 months vs. 5.7 months, p<0.001). CONCLUSION: Tumours originating in the frontal sinus or frontoethmoidal recess have a tendency to be associated with carcinoma. As most (87.5%) of the carcinomas were diagnosed at the same time as the inverted papilloma, complete histological examination of the whole excised tumour is warranted because early diagnosis and treatment is essential as T2 and lower stage carcinomas had a strikingly better prognosis than T3 and higher stage carcinomas.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Yoon, Joo Heon(윤주헌)
Lee, Jeung Gweon(이정권)
Choi, Eun Chang(최은창)
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