“…8,19 Similar to IP, numerous intraepithelial mucuscontaining microcysts can be seen within the epithelium; however, the diffuse oncocytic nature of the epithelium distinguishes OSP from the other sinonasal papillomas. 8,20 OSP must be differentiated from well-differentiated adenocarcinoma by the presence of stratified epithelium, intact basement membranes, and the absence of nuclear pleomorphism, mitotic activity, and bony destruction.…”