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Sinonasal carcinoma masquerading as fungal sinusitis
Joan Felicita Samson1, V Suja, Abdul K Samad
1Department of Dermatology and Venereology, Medical College, Thiruvananthapuram, Kerala, India. gklibu@gmail.com
Abstract:
A 26-year-old man presented with swelling of his face and nose of three months duration. He had multiple hyperpigmented, hyperkeratotic plaques over the swelling, of one-month duration and an erythematous indurated plaque below the left nostril for two weeks. Based on a biopsy taken from the antral mass with special stain for fungus, he was treated as fungal sinusitis with intravenous amphotericin-B, but the lesion did not regress. Later a skin biopsy from the indurated lesion showed moderately differentiated squamous cell carcinoma. A diagnosis of sinonasal carcinoma was made and chemotherapy was started.
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