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상악동의 진균구에서 우연히 발견된 편평세포암

Incidental Finding of Squamous Cell Carcinoma Accompanying a Fungal Ball in the Maxillary Sinus

대한이비인후과학회지-두경부외과학 2020년 63권 4호 p.172 ~ 175
이현주, 김정수, 허성재,
소속 상세정보
이현주 ( Lee Hyun-Ju ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Otorhinolaryngology-Head and Neck Surgery
김정수 ( Kim Jung-Soo ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Otorhinolaryngology-Head and Neck Surgery
허성재 ( Heo Sung-Jae ) - Kyungpook National University School of Medicine Kyungpook National University Chilgok Hospital Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


Malignant tumors rarely occur in the paranasal sinuses. Paranasal tumors, when they occur, exhibit atypical symptoms, such as nasal obstruction, rhinorrhea, facial pain, and nasal bleeding. Because of nonspecific symptoms commonly observed in the sinusitis and their infrequent occurrence, malignant tumors of the paranasal sinuses are generally diagnosed late. If there is bone destruction or invasion of the surrounding tissues in the imaging studies, malignant tumors could be suspected; however, without such findings, it is difficult to predict the existence of cancer. It is more difficult to suspect malignant tumors when they coexist with sinus diseases. In addition, since the concomitant presence of fungal balls and cancer is extremely rare, it is difficult to suspect the presence of cancer when treating fungal balls. We report a case of a fungal ball accompanied by squamous cell carcinoma without any sign of malignancy, such as bone destruction, which has not been reported in the English literature to date.

키워드

Fungi; Maxillary sinus; Mycoses; Nose; Squamous cell carcinoma

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