Long follow-up is essential in dealing with recurrences. Inverted Papilloma is a benign neoplasm originating from the schneiderian membrane of nose and paranasal sinus vacities. It has varied clinical and histological involving lateral nasal wall, septum, ethmoids, maxillary and sphenoid sinuses and at times involves skull base. Interesting three cases are reported because of varied presentation of inverted papilomma. It occurs mostly in children.
Aetiology is unknown.
Treatment is by surgery, Radiotherapy and Chemotherapy, either singly or in combination. Prognosis depends on the degree of involvement. One such case is reported and discussed. Histopathological examination let to the final diagnosis. Co-existence of multiple myeloma should be ruled out in all such cases.