Disseminated Rhinosporidiosis Masquerading as Sarcoma

Rhinosporidiosis, though reported from several countries, has the highest incidence in India (notably South India) and Sri Lanka, with most cases presenting as nasal polyps. Nasopharynx and palpebral conjunctiva account for 85% of the sites. Other mucosal sites affected are oropharynx, larynx, rectum and external genitalia. Disseminated rhinosporidiosis is usually associated with mucosal lesions. Rhinosporidiosis affecting skin, subcutaneous tissue and bone are uncommon. Herein we report a rare case of disseminated rhinosporidiosis mimicking a soft tissue sarcoma.