침습성 진균성 부비동염과 혼재된 상악동 말초성 T 세포 림프종 1예
A Case of Peripheral T-Cell Lymphoma Mixed With Invasive Fungal Sinusitis of Maxillary Sinus
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A Non-Hodgkin’s lymphoma rapidly forms a deep ulcer and invades the sinuses, orbital wall,and the palate. It is important to detect and treat early as it can, although rarely, be accompaniedby rapid ulcerative destruction and sepsis due to necrosis. An 80-year-old female visited our hos-pital complaining of right nasal congestion and facial edema. A fungal ball in the right maxillarysinus and a defect in the anterior wall of the maxilla were observed by paranasal sinus computedtomography, and sinus endoscopic surgery and Caldwell Luc operation were performed. The in-traoperative biopsy showed findings suitable for invasive fungal sinusitis. Based on this, a sec-ondary medial maxillectomy was performed; however, peripheral T-cell lymphoma mixed withinvasive fungal sinusitis was reported on the permanent biopsy. We report a case of peripheralT-cell lymphoma mixed with invasive fungal sinusitis of maxillary sinus.
Abstract
A Non-Hodgkin’s lymphoma rapidly forms a deep ulcer and invades the sinuses, orbital wall,and the palate. It is important to detect and treat early as it can, although rarely, be accompaniedby rapid ulcerative destruction and sepsis due to necrosis. An 80-year-old female visited our hos-pital complaining of right nasal congestion and facial edema. A fungal ball in the right maxillarysinus and a defect in the anterior wall of the maxilla were observed by paranasal sinus computedtomography, and sinus endoscopic surgery and Caldwell Luc operation were performed. The in-traoperative biopsy showed findings suitable for invasive fungal sinusitis. Based on this, a sec-ondary medial maxillectomy was performed; however, peripheral T-cell lymphoma mixed withinvasive fungal sinusitis was reported on the permanent biopsy. We report a case of peripheralT-cell lymphoma mixed with invasive fungal sinusitis of maxillary sinus.
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