title: Bilateral fungiform papilloma with synchronous verrucous carcinoma of the nasal septum: a rare presentation and a literature review.
abstract: OBJECTIVE
  Fungiform papillomas are benign mucosal neoplasms presenting as a unilateral exophytic mass involving the anterior portion of the nasal septum. In this study, we present an exceptional case of a bilateral fungiform papilloma with a synchronous verrucous carcinoma of the nasal septum.
  
  
  METHODS
  A case study with a review of the literature concerning malignant changes in fungiform papilloma.
  
  
  RESULTS
  The general consensus in most of the literature is that malignant change in fungiform papilloma is exceptional. Our patient is probably the third reported case of verrucous carcinoma of the nasal septum, and the first report of a bilateral fungiform papilloma with a synchronous verrucous carcinoma. The tumour was subjected to complete surgical removal in the first instance. There was no recurrence at follow up seven months after surgery.
  
  
  CONCLUSIONS
  Although fungiform papillomas are generally not premalignant, occasional malignant transformation may occur. Thus, they must be managed with the utmost cautiousness.
authors.affiliation: Department of ENT, Shri Guru Ram Rai Institute of Medical and Health Sciences, Patel Nagar, Dehradun, India. dr_triptimaithani@yahoo.com
authors.forename: T
authors.initials: T
authors.lastname: Maithani
authors.forename: D
authors.initials: D
authors.lastname: Dey
authors.forename: A
authors.initials: A
authors.lastname: Pandey
authors.forename: N
authors.initials: N
authors.lastname: Chawla
mesh_terms: D001706:Biopsy; D018289:Carcinoma, Verrucous / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D004724:Endoscopy; D004844:Epistaxis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum; D009669:Nose Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010212:Papilloma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011859:Radiography; D012225:Rhinoplasty; D055502:Secondary Prevention