Sinonasal carcinoma masquerading as fungal sinusitis.
A 26-year-old man presented with swelling of his face and nose of three months duration. He had multiple hyperpigmented, hyperkeratotic plaques over the swelling, of one-month duration and an erythematous indurated plaque below the left nostril for two weeks. Based on a biopsy taken from the antral mass with special stain for fungus, he was treated as fungal sinusitis with intravenous amphotericin-B, but the lesion did not regress. Later a skin biopsy from the indurated lesion showed moderately differentiated squamous cell carcinoma. A diagnosis of sinonasal carcinoma was made and chemotherapy was started.
Samson
Joan Felicita
JF
Department of Dermatology and Venereology, Medical College, Thiruvananthapuram, Kerala, India. gklibu@gmail.com
Suja
V
V
Samad
Abdul K
AK
George
Anuja Elizabeth
AE
Sankar
S
S
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009181:Mycoses / Q000175:diagnosis; D009669:Nose Neoplasms / Q000175:diagnosis* / Q000473:pathology; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012852:Sinusitis / Q000175:diagnosis* / Q000382:microbiology*