Papilloma

1. Papilloma Mr. Ali A.Radwan

2. What is papilloma?? Papilloma is a benign tumor known to grow in an outward direction, it produces frond-like tumors that can develop anywhere on the body. Papilloma are also known as neoplasms. Papilloma can occur in areas throughout the body. Papilloma on the skin (cutaneous papilloma) are commonly referred to as warts . Papilloma

3. Cont.. The most common places for a papilloma can be the neck, upper chest, groin, and the armpits , they occur on areas such as the hands, feet and knees, papilloma can also occur in the nose, brain, genitals, conjunctiva of the eye, and female breast ducts. Papilloma in the throat, windpipe and lungs is a rare disease called recurrent respiratory papillomatosis (RRP).

4. Etiology and pathophysiology Most papilloma are caused by a virus . The human papillomaviruses (HPVs) are a group of more than 150 viruses that can cause papilloma. HPV can cause papilloma of the skin, genitals, mouth, eyes and throat, certain HPV can cause cervical cancer in women. Some types of papilloma have other, non viral. For example, nasal papilloma may be caused by a tissue injury.

5. In addition there are types of papilloma that do not have known causes these include intraductal (breast duct) papilloma and choroid plexus papilloma (a rare benign brain tumor most often seen in young children ). Genital warts: a type of papilloma caused by HPV infection are very contagious through sexual contact ,they can also lead to a potentially serious disease called recurrent respiratory papillomatosis , in an infant or child born to a mother with active genital warts during pregnancy.

6. Symptoms of a papilloma? Symptoms of papilloma vary depending on where they occur in the body: 1)Symptoms of cutaneous (skin) papilloma that occur on the skin are commonly known as warts they can occur on areas such as the hands and knees. Symptoms can include: Black dots in the wart often called seed warts Clusters of bumps on the skin Painful or painless bumps Raised or flat warts Rough or smooth bumps or warts

7. Cont ,, Symptoms of intraductal (breast duct) papilloma Intraductal papillomas can cause the following symptoms: Breast lumps Breast pain Breast swelling Nipple discharge .

8. Symptoms of nasal papilloma: Headache Nasal congestion Postnasal drip

9. Cont.. Symptoms of recurrent respiratory papilloma (RRP) RRP is a rare disease caused by HPV, symptoms may include: Chronic cough Difficulty swallowing or speaking Hoarseness Loss of voice Noisy breathing and snoring Shortness of breath Weak cry in infants and young children

10. Some forms of papilloma can produce serious and life-threatening complications. Recurrent respiratory papillomatosis (RRP) can in rare cases produce rapidly growing tumors in the respiratory tract leading to complete respiratory obstruction. Choroid plexus papillomas occur in the brain and can lead to increased intracranial pressure and hydrocephalus (fluid on the brain). serious symptoms of these conditions including:

11. 1-Bulging soft spot (fontanel) on top of an infant’s head 2-Change in level of alertness or consciousnessm such as passing out , lethargy or decreased responsiveness 3-Change in mental status such as confusion or disorientation Paralysis 4-Respiratory difficulties, such as severe shortness of breath, labored breathing or high-pitched whistle while inhaling 5-Seizure 6-Severe headache 7-Sudden change in vision 8-Sudden difficulty speaking 9-Uncontrollable coughing

12. How is a papilloma treated? Some types of papilloma do not require treatment and may disappear on their own ,when treatment is needed it varies depending on the specific type, size and location of the papilloma. For example: Skin warts and genital warts may be treated with topical medications or procedures, such as cryotherapy (freezing with a chemical) or laser surgery , skin warts may also be removed by excision (cutting away the wart or removing it with electricity). Surgical removal is a primary treatment for papillomas of the brain, breast ducts, and respiratory tract .