Radiotherapy for Inverted Papilloma of the Nasal Cavity: A R
Case Report
A 56-year-old man was referred to our hospital with a history of IP of the right nasal cavity, since 1982. For that reason, he underwent a surgical excision twice due to recurrences. According to the histological report, it was an IP with negative surgical margins. He reported a few months history of right-sided facial pain and pressure, nasal fullness and epistaxis. In the context of his follow-up, the patient underwent a CT, where there was a soft tissue mass in the superior wall of the right maxillary sinus with invasion to the right walls and the floor of the right orbit (Figs. 1 and 2). The disease extent and the invasion of adjacent structures were determined with the help of MRI. Contrast-enhanced magnetic resonance imaging (MRI) revealed a 6.5 × 6 × 3 cm tumor mass involving the sphenoid sinuses, nasal cavity, ethmoidal cells and the floor of the right orbit. Under general anesthesia, the patient underwent an extensive resection with orbital preservation via a right lateral rhinotomy approach. Surgery with negative margins was not possible....