Exophytic papilloma of the nasopharynx in a 5-year-old patient: Case report and literature review

Main Article Content

José Martes Fritz
Daniel Ruiz Manco
Javier Andrés ospina Díaz

Abstract

Upper airway (UA) obstruction in pediatric patients may rarely require ruling out less common entities such as nasopharyngeal masses. Case Report: Exophytic papilloma in a 5-year-old patient with a challenging clinical diagnosis. The clinical, radiographic, and therapeutic characteristics of this lesion are discussed through a review of the current literature. Discussion: Severe UA obstruction in pediatric patients warrants a thorough endoscopic and radiologic study. Nasopharyngeal tumors are an uncommon cause of UA obstruction in children. Exophytic papilloma is a benign tumor of the nasal cavity, originating from the Schneiderian mucosa. It is known for its high recurrence rate following subtotal resection. There have been only a few case reports when originating from the nasopharynx. Conclusion: Sinonasal papilloma is a low-incidence tumor in children, but it still must be considered a rare cause of UA obstruction. Therefore, patients must be properly approached in order to perform appropriate diagnostic and therapeutic management.

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How to Cite
1.
Martes Fritz J, Ruiz Manco D, ospina Díaz JA. Exophytic papilloma of the nasopharynx in a 5-year-old patient: Case report and literature review. Acta otorrinolaringol cir cabeza cuello [Internet]. 2024Sep.19 [cited 2024Sep.19];52(2):119 - 24. Available from: https://mail.revista.acorl.org.co/index.php/acorl/article/view/756
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Reportes de Casos

References

Niedzielski A, Chmielik LP, Mielnik-Niedzielska G, Kasprzyk A, Bogustawska J. Adenoid hypertrophy in children: a narrative review of pathogenesis and clinical relevance. BMJ Paediatr Open. 2023;7(1):e001710. doi: 10.1136/bmjpo-2022-001710

Pereira L, Monyror J, Almeida FT, Almeida FR, Guerra E, Flores-Mir C, et al. Prevalence of adenoid hypertrophy: A systematic review and meta-analysis. Sleep Med Rev. 2018;38:101-112. doi: 10.1016/j.smrv.2017.06.0013.

Al-Shamrani A, Alharbi AS. Diagnosis and management of childhood sleep-disordered breathing. Clinical approach. Saudi Med J. 2020;41(9):916-929. doi: 10.15537/smj.2020.9.25262

Yi H, Ji T, Song X, Seng D, Zhao J, Ni X. The Clinical Characteristics in Children with Sinonasal Inverted Papilloma: A Case Report and Review of the Literature. Ear Nose Throat J. 2023;102(11):696-700. doi: 10.1177/01455613211068567

Nasser F, Mubarak A-S. Inverted Papilloma Isolated in the Nasopharynx. Bahrain Med Bull. 2013;35(1):1–9.

Korbi AE, Jellali S, Kolsi N, Bouatay R, Njim L, Berguaoui E, et al. Pediatric naso-sinusal inverted papilloma: report of a case and literature review. Pan Afr Med J. 2020;37:373. doi: 10.11604/pamj.2020.37.373.27186

Thompson LD. Schneiderian papilloma of the sinonasal tract. Ear Nose Throat J. 2015;94(4-5):146-8.

Jayakody N, Ward M, Wijayasingham G, Fowler D, Harries P, Salib R. A rare presentation of a paediatric sinonasal inverted papilloma. J Surg Case Rep. 2018;2018(11):rjy321. doi: 10.1093/jscr/rjy321

Glâtre R, De Kermadec H, Alsamad IA, Badoual C, Gauthier A, Brugel L, et al. Exophytic sinonasal papillomas and nasal florid papillomatosis: A retrospective study. Head Neck. 2018;40(4):740-746. doi: 10.1002/hed.25042

Wieneke JA, Koeller KK. Head neck pathol radiology pathology classics. Head Neck Pathol. 2007;1(2):99-101. doi: 10.1007/s12105-007-0019-0

Salomone R, Matsuyama C, Giannotti Filho O, Alvarenga ML, Martinez Neto EE, Chaves AG. Bilateral inverted papilloma: case report and literature review. Braz J Otorhinolaryngol. 2008;74(2):293-6. doi: 10.1016/s1808-8694(15)31103-4

Klimek T, Atai E, Schubert M, Glanz H. Inverted papilloma of the nasal cavity and paranasal sinuses: clinical data, surgical strategy and recurrence rates. Acta Otolaryngol. 2000;120(2):267-72. doi: 10.1080/000164800750001071

Acevedo-Henao CM, Talagas M, Marianowski R, Pradier O. Recurrent inverted papilloma with intracranial and temporal fossa involvement: A case report and review of the literature. Cancer Radiother. 2010;14(3):202-5. doi: 10.1016/j. canrad.2010.01.012

Zagolski O, Dwivedi RC, Subramanian S, Kazi R. Non Hodgkin’s lymphoma of the sino-nasal tract in children. J Cancer Res Ther. 2010;6(1):5-10. doi: 10.4103/0973-1482.63553

Cuadra-Garcia I, Proulx GM, Wu CL, Wang CC, Pilch BZ, Harris NL, Ferry JA, et al. Sinonasal lymphoma: a clinicopathologic analysis of 58 cases from the Massachusetts General Hospital. Am J Surg Pathol. 1999;23(11):1356-69. doi: 10.1097/00000478-199911000-0000616

Brennan B. Nasopharyngeal carcinoma. Orphanet J Rare Dis. 2006;1:23. doi: 10.1186/1750-1172-1-23

King AD, Lei KI, Richards PS, Ahuja AT. Non-Hodgkin’s lymphoma of the nasopharynx: CT and MR imaging. Clin Radiol. 2003;58(8):621-5. doi: 10.1016/s0009-9260(03)00182-x

Liu XW, Xie CM, Mo YX, Zhang R, Li H, Huang ZL, et al. Magnetic resonance imaging features of nasopharyngeal carcinoma and nasopharyngeal non-Hodgkin’s lymphoma: are there differences? Eur J Radiol. 2012;81(6):1146-54. doi: 10.1016/j.ejrad.2011.03.066

Ishak M, Lazim N, Abdullah B, Mohd Z. Open and Endoscopic Medial Maxillectomy for Maxillary Tumors – A Review of Surgical Options. Curr Med Issues. 2019;17(3):75. doi: 10.4103/cmi.cmi_6_19

Berçin S, Ural A, Kutluhan A. Nasal Septal Papilloma Co Existing With A Rhinolith: Case Report. 2006;5(3):127-9.

Ashkanani SM, Aljariri AA, Shaikh A, Ammar AA. HPV related sino-nasal SCC of in pediatric female patient: A case report. Otolaryngol Case Reports. 2022;24(December 2021):100463. doi: 10.1016/j.xocr.2022.100463

Wadhera R, Kalra V, Gulati SP, Ghai A. A big solitary oropharyngeal papilloma in a child. Egypt J Ear, Nose, Throat Allied Sci. 2012;13(3):131-2. doi: 10.1016/j.ejenta.2012.10.002

Malhotra N, Lendner N, Gagliardo C, Breglio K, Mor N, Wetzler G. Esophageal Squamous Papilloma in the Pediatric Population. JPGN Rep. 2022;3(2):e178. doi: 10.1097/ PG9.0000000000000178

Orenuga OO, A O, Oluwakuyide RT, Olawuyi AB. Recurrent oral squamous papilloma in a pediatric patient: Case report and review of the literature. Niger J Clin Pract. 2018;21(12):1674- 1677. doi: 10.4103/njcp.njcp_407_17

Hernández-Almeida P, Vásconez-Muñoz F, Vásconez Montalvo A, Montalvo-Flores N, Redrobán-Armendariz L, Aymacaña-Albán E. Oesophageal squamous papilloma in paediatric population: a single-centre case series. BMJ Paediatr Open. 2023;7(1):e001667. doi: 10.1136/bmjpo-2022-001667