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KMID : 0361020080510040394
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Korean Journal of Otolaryngology - Head and Neck Surgery
2008 Volume.51 No. 4 p.394 ~ p.398
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Huge Cholesterol Granuloma With Fungal Ball
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Kim Il-Kang
Yum Dong-Jin
Kim Choon-Dong
Kim Yoon-Jung
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Abstract
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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.
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KEYWORD
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Cholesterol granuloma, Fungal ball, Sphenoid sinus, Pterygoplatine fossa
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