Nasopharyngeal cylindrical cell papilloma

J Laryngol Otol. 2011 Jan;125(1):86-8. doi: 10.1017/S0022215110002094. Epub 2010 Oct 14.

Abstract

Introduction: Cylindrical cell papillomas are rare tumours which usually arise in the sinonasal region.

Case report: We report a case of a nasopharyngeal cylindrical cell papilloma in a 56-year-old man who presented with a four-month history of right-sided hearing loss, otalgia, vertigo and tinnitus. Investigation revealed a soft, nodular lesion obstructing the pharyngeal opening of the right eustachian tube; this was treated by wide endoscopic excision.

Conclusion: Cylindrical cell papilloma is a possible cause of eustachian tube obstruction in adults. Effective treatment of these lesions usually requires wide endoscopic excision, in order not to miss coexistent carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Earache / etiology
  • Endoscopy
  • Eustachian Tube / pathology
  • Female
  • Hearing Loss, Unilateral / etiology
  • Humans
  • Male
  • Middle Aged
  • Nasopharyngeal Neoplasms / pathology*
  • Nasopharyngeal Neoplasms / surgery
  • Nasopharyngeal Neoplasms / ultrastructure
  • Otoscopy
  • Papilloma / pathology*
  • Papilloma / surgery
  • Papilloma / ultrastructure
  • Tinnitus / etiology
  • Vertigo / etiology