An inverted papilloma is a type of tumor

Tumor

A tumor or tumour is commonly used as a synonym for a neoplasm that appears enlarged in size. Tumor is not synonymous with cancer...

 in which surface epithelial cells grow downward into the underlying supportive tissue. It may occur in the nose and/or

And/or

And/or is a phrase used to indicate that one or more of the stated cases may occur. For example, the sentence "He will eat cake, pie, and/or brownies" indicates that although the person may eat any of the three listed desserts, the choices are not exclusive; the person may eat one, two, or all...

 sinuses or in the urinary tract (bladder

Bladder

Bladder usually refers to an anatomical hollow organBladder may also refer to:-Biology:* Urinary bladder in humans** Urinary bladder ** Bladder control; see Urinary incontinence** Artificial urinary bladder, in humans...

, renal pelvis

Renal pelvis

The renal pelvis or pyelum is the funnel-like dilated proximal part of the ureter in the kidney.In humans, the renal pelvis is the point of convergence of two or three major calyces...

, ureter

Ureter

In human anatomy, the ureters are muscular tubes that propel urine from the kidneys to the urinary bladder. In the adult, the ureters are usually long and ~3-4 mm in diameter....

, urethra

Urethra

In anatomy, the urethra is a tube that connects the urinary bladder to the genitals for the removal of fluids out of the body. In males, the urethra travels through the penis, and carries semen as well as urine...

). When it occurs in the nose or sinuses, it may cause symptoms similar to those caused by sinusitis

Sinusitis

Sinusitis is inflammation of the paranasal sinuses, which may be due to infection, allergy, or autoimmune issues. Most cases are due to a viral infection and resolve over the course of 10 days...

, such as nasal congestion

Nasal congestion

Nasal congestion is the blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels. It is also known as nasal blockage, nasal obstruction, blocked nose, stuffy nose, or stuffed up nose.Nasal congestion has many causes and can range from a...

. When it occurs in the urinary tract, it may cause blood in the urine.

Diagnosis By MRI

Inverted papillomas are definitively diagnosed by histologic examination. However, Magnetic Resonanace Imaging (MRI) may show a characteristic feature described as a Convoluted Cerebriform Pattern (CCP). A retrospective study published in the American Journal of Neuroradiology concluded that identification of CCP by MRI in a patient with a nasal tumor made the diagnosis of Inverted papilloma quite likely. The study reported the sensitivity and specificity to be 100% and 87% respectively. CCP can be associated with other malignant tumors as well.

External links

• Inverted papilloma entry in the public domain NCI Dictionary of Cancer Terms