Radiology Case Reports (Nov 2021)

Inverted papilloma originating from the lacrimal sac and the nasolacrimal duct with marked FDG accumulation

  • Shuichi Ito, MD,
  • Makoto Hosono, MD,PhD,
  • Kazuna Kawabata, MD,PhD,
  • Hitomi Kawamura, MD,
  • Masaaki Ishikawa, MD,PhD,
  • Mitsunori Kanagaki, MD,PhD

Journal volume & issue
Vol. 16, no. 11
pp. 3577 – 3580

Abstract

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Inverted papilloma originating from the lacrimal sac and the nasolacrimal duct is rare, although that in the sinonasal region is a relatively common lesion with local invasion, malignant potential and high recurrence rates after surgery. We report a 52-year-old woman with inverted papilloma of the right lacrimal sac and the nasolacrimal duct, who underwent CT, MR imaging and FDG-PET/CT preoperatively. In addition to CT and MR imaging features similar to those in previous reports, the inverted papilloma exhibited marked FDG accumulation with a maximum standardized uptake value of 7.34 and no other significant FDG accumulation was detected. In summary, our case of inverted papilloma originating from the right lacrimal sac and the nasolacrimal duct noted marked FDG accumulation on PET/CT, which enabled visualization of the localized tumor extension with no metastases.

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