Incidental Finding of Squamous Cell Carcinoma Accompanying a Fungal Ball in the Maxillary Sinus
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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 infrequentoccurrence, malignant tumors of the paranasal sinuses are generally diagnosed late. Ifthere is bone destruction or invasion of the surrounding tissues in the imaging studies, malignanttumors could be suspected; however, without such findings, it is difficult to predict theexistence of cancer. It is more difficult to suspect malignant tumors when they coexist with sinusdiseases. In addition, since the concomitant presence of fungal balls and cancer is extremelyrare, it is difficult to suspect the presence of cancer when treating fungal balls. We reporta case of a fungal ball accompanied by squamous cell carcinoma without any sign ofmalignancy, such as bone destruction, which has not been reported in the English literature todate.
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 infrequentoccurrence, malignant tumors of the paranasal sinuses are generally diagnosed late. Ifthere is bone destruction or invasion of the surrounding tissues in the imaging studies, malignanttumors could be suspected; however, without such findings, it is difficult to predict theexistence of cancer. It is more difficult to suspect malignant tumors when they coexist with sinusdiseases. In addition, since the concomitant presence of fungal balls and cancer is extremelyrare, it is difficult to suspect the presence of cancer when treating fungal balls. We reporta case of a fungal ball accompanied by squamous cell carcinoma without any sign ofmalignancy, such as bone destruction, which has not been reported in the English literature todate.
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