Nasal obstruction for six months and oral lesions for two months. Awaiting histological examination
chronic candidiasis ? plz let me know, I am interested in this case and the histological examination too
Hello dr Khalid. It is a tumor that comes from nose. Please see ct scan
I do'nt think neoplasma. It seems infectious disease forming granulomatous lesion, which sugests "South American blastmycosis (paracoccidioidomycosis)" of the nose and oral cavity.
It is very close to chronic granulomatous fungus infection (whatever the type). More MRI views may be more helpful. However a minor salivary gland adenoid cystic carcinoma may sometimes mimic the same picture especially with the dilated vessels on the mucosal side. Another DD which is also possible is adamantinoma.
I am really waiting for the histopath !
Here is the HP
The biopsy of the nasal mass and palate showed neuroendocrine tumor with a high proliferation index. The specific neuroendocrine markers evidenced by immunohistochemistry were AE1 / AE3, cytoplasmic, granular pattern, CD56, P63 and Ki67. We indicate chemotherapy
Is chemotherapy enough or does your oncologist ask for a cytoreductive surgery then Cx
depending on the efficacy of chemotherapy, it will be supplemented with surgery
DD would be
a) Chronic granulomatous disease - Wegener's
b) Picture definitely points to a malignancy
c) Ca Maxilla
d) Minor salivary gland tumor...
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