EGFR mutations and HPV infection are essential, mutually exclusive
oncogenic events in inverted sinonasal papillomas and associated sinonasal squamous cell
carcinomas. Frequency of EGFR mutations (blue), low-risk HPV DNA
(green), and high-risk HPV DNA (red) in inverted sinonasal papilloma (ISP),
ISP-associated sinonasal squamous cell carcinoma (ISP-Assoc. SNSCC) and sinonasal
squamous cell carcinoma without a known ISP associated [SNSCC (Not ISP-Assoc.)]. A
single case of ISP demonstrated both an EGFR mutation and transient,
low-level HPV DNA that likely reflects incidental HPV colonization (light green). HPV
subtype was unknown for one SNSCC (Not ISP-Assoc.; yellow).