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Table 6 Computed Tomography in surveillance of IP malignant transformation summary

From: Clinical evidence based review and systematic scientific review in the identification of malignant transformation of inverted papilloma

Study authors

Year

Study design

Level of evidence

Study group

Intervention

Outcome

Conclusion

Chawla et al. [29]

2016

Expert opinion

D

None

None

IP on CT appears as lobulated soft tissue density mass with or without any calcification. IP causes bone remodeling and resorption rather than osseous destruction (as seen in malignant tumors).

CCP on MRI combined with osseous remodeling on CT are highly suggestive of IP over malignant mass.

Miyazaki et al [28]

2018

Observational study

C

70 IP cases, 6 IP-SCC

Medical history reviewed, comparing with histological findings

Nasal bleeding, pain, bone destruction and extent of disease on CT and MRI are associated with malignancy.

Imaging findings are associated with IP-SCC.