Korean J Otorhinolaryngol-Head Neck Surg.
2008 Apr;51(4):394-398.
Huge Cholesterol Granuloma With Fungal Ball
- Affiliations
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- 1Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital, Seoul, Korea. ilkang21@hanmail.net
- 2Department of Pathology, Seoul Veterans Hospital, Seoul, Korea.
Abstract
- Cholesterol granuloma is usually found in chronic middle ear disease. However, it rarely occurs in the sinonasal regions and only a few cases have been reported in the literature. The etiology of the sinonasal cholesterol granuloma is not known yet, and the clinical manifestations are variable. The 78-year-old man complained of facial pain and toothache at first visit. The PNS CT had a homogenous isodense mass occupying right spenoid sinus and extending to right pterygopalatine fossa, infratemporal fossa and masticator space. The PNS MRI had characteristically high signal lesion at both T1- and T2-weighted images. The tumor was completely excised via transantral approach. Pathological confirmation was the cholesterol granuloma with fungal infection consistent with Aspergillus species. This patient is followed up without recurrence.
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