Huge Cholesterol Granuloma With Fungal Ball.
- Author:
Il Kang KIM
1
;
Dong Jin YUM
;
Yoon Jung KIM
;
Choon Dong KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital, Seoul, Korea. ilkang21@hanmail.net
- Publication Type:Case Report
- Keywords:
Cholesterol granuloma;
Fungal ball;
Sphenoid sinus;
Pterygoplatine fossa
- MeSH:
Aged;
Aspergillus;
Cholesterol;
Ear, Middle;
Facial Pain;
Granuloma;
Humans;
Pterygopalatine Fossa;
Recurrence;
Sphenoid Sinus;
Toothache
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2008;51(4):394-398
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cholesterol granuloma is usually found in chronic middle ear disease. However, it rarely occurs in the sinonasal regions and only a few cases have been reported in the literature. The etiology of the sinonasal cholesterol granuloma is not known yet, and the clinical manifestations are variable. The 78-year-old man complained of facial pain and toothache at first visit. The PNS CT had a homogenous isodense mass occupying right spenoid sinus and extending to right pterygopalatine fossa, infratemporal fossa and masticator space. The PNS MRI had characteristically high signal lesion at both T1- and T2-weighted images. The tumor was completely excised via transantral approach. Pathological confirmation was the cholesterol granuloma with fungal infection consistent with Aspergillus species. This patient is followed up without recurrence.
