반전성 유두종 및 종양성 Schneiderian 유두종 환자의 조직학적 특징에 따른 임상양상 고찰

조재근; 동헌종; 정승규; 김효열; 정용기; 민진영

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자료유형: 학술저널

저자정보: 조재근 동헌종 정승규 김효열 정용기 민진영

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제9호

발행연도: 2008.1

수록면: 790 - 795 (6page)

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Oncocytic schneiderian papilloma (OSP) is uncommon benign sinonasal neoplasm that arise from the sinonasal epithelium. Because of its rare incidence, OSP is not well-known by clinicians and report of this disease is uncommon. The aim of this study was to review the pathological features and variations of sinonsasl papillomas and to compare clinical behaviors of Inverted papiloma (IP) with OSP. Subjects and Method：A retrospective review and pathological assessment were performed on 99 sinonasal papilloma patients. Parameters for comparison included the origin site, radiologic finding, recurrence and malignancy rates. Predictive factors for recurrence and malignancy included histological variations of IP versus OSP. Results： Eighty-eight patients (88%) were diagnosed with inverted papilloma and 11 patients (11%) were OSP. Recurrence developed in one patient with OSP (9%) and six patients with IP (7%). Six cases (7%) of carcinoma ex papilloma were seen only in IP. OSP was more often presented as a mixed form with inverted papilloma, rather than in the pure form. The histological variations and radiological findings, regardless of its difference, did not statistically impact recurrence rate and malignant transformation rate. Conclusion：The common mixed features of OPS and IP explains that these two lesions have the common etiological factor. In our study, there are no significant differentiations in clinical manifestation and prognosis. A larger number of cases for analysis would be necessary to confirm the properties of OSP. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:790-5)

#Inverted papilloma·Papilloma·Neoplasm·Sinonasal.

참고문헌 (18)

참고문헌 신청

Barnes L / 1984 / Oncocytic Schneiderian papilloma: A reappraisal of cylindrical cell papilloma of the sinonasal tract / Hum Pathol 15 (4) : 344 ~ 351

Christensen WN / 1986 / Schneiderian papillomas: A clinicopathologic study of 67 cases / Hum Pathol 17 (4) : 393 ~ 400

Cummings CW / 1970 / Inverted papillomas of the nose and paranasal sinuses / Arch Otolaryngol 92 (5) : 445 ~ 449

Dammann F / 1999 / Inverted papilloma of the nasal cavity and the paranasal sinuses: Using CT for primary diagnosis and follow-up / AJR Am J Roentgenol 172 (2) : 543 ~ 548

Hyams VJ / 1971 / Papillomas of the nasal cavity and paranasal sinuses. A clinicopathological study of 315 cases / Ann Otol Rhinol Laryngol 80 (2) : 192 ~ 206

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