Candidal Granuloma on the Lip Masquerading as Squamous Cell Carcinoma
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Skin fungal infections are sometimes misdiagnosed as malignancies and vice versa. Herein, we present the case of a 78-year-old woman who visited our clinic because of a rapidly growing "hard-crusted nodule" on the lower lip persisting for 1 month. Keratoacanthoma or squamous cell carcinoma (SCC) was initially considered. However, the histopathological findings revealed suppurative granuloma and fungal elements without atypical cells. Candida albicans was grown in tissue culture. The lesions were treated with topical ketoconazole. After 2 years, the patient revisited because of a black-crusted nodule on the left corner of her mouth that had been persisting for 1 month. The nodule resembled SCC. Histopathological examination revealed suppurative granuloma and fungal elements. After confirming Candida glabrata in fungal culture, the lesion was diagnosed as candidal granuloma and disappeared spontaneously without any treatment. Herein, we report a case of candidal granuloma on lip mimicking recurrent malignancies.
Abstract
Skin fungal infections are sometimes misdiagnosed as malignancies and vice versa. Herein, we present the case of a 78-year-old woman who visited our clinic because of a rapidly growing "hard-crusted nodule" on the lower lip persisting for 1 month. Keratoacanthoma or squamous cell carcinoma (SCC) was initially considered. However, the histopathological findings revealed suppurative granuloma and fungal elements without atypical cells. Candida albicans was grown in tissue culture. The lesions were treated with topical ketoconazole. After 2 years, the patient revisited because of a black-crusted nodule on the left corner of her mouth that had been persisting for 1 month. The nodule resembled SCC. Histopathological examination revealed suppurative granuloma and fungal elements. After confirming Candida glabrata in fungal culture, the lesion was diagnosed as candidal granuloma and disappeared spontaneously without any treatment. Herein, we report a case of candidal granuloma on lip mimicking recurrent malignancies.
참고문헌 (8)
- Hsu TJ, "Implantation mycoses and invasive fungal infections with cutaneous involvement in tropical Taiwan : an 11-year retrospective study of a medical center", J Fungi, 9, pp.322~ (2023)
- Momin SB, "Mycetoma clinically masquerading as squamous cell carcinoma : case report and literature review", J Clin Aesthet Dermatol, 2, pp.26~31 (2009)
- Eom JY, "Candida granuloma", Ann Dermatol, 6, pp.174~178 (1994)
- Anjaneyan G, "Candidal granuloma in a renal allograft recipient", Indian J Dermatol Venereol and Leprol, 89, pp.99~102 (2023)
- 김수정, "Kaposi Sarcoma-Like Lesions Caused by Candida guilliermondii Infection in a Kidney Transplant Patient", Annals of Dermatology, 33(1), pp.91~93 (2021), 대한피부과학회[DOI]
- Brothers RP, "Squamous cell carcinoma mimicking fungal infection", ID Cases, 6, pp.72~73 (2016)
- Jensen P, "Skin cancer in kidney and heart transplant recipients and different long-term immunosuppresive therapy regimens", J Am Acad Dermatol, 42, pp.307~ (2000)
- Efared B, "Mycetoma in a non-endemic area : a diagnostic challenge", BMC Clin Pathol, 17, pp.1~ (2017)