Case Report

Cytodiagnosis of Sinonasal Aspergillosis - A Case Report with Brief Review of Literature

Dhiraj B Nikumbh, Shivraj N Kanthikar, Sneha S Desale and Rajeshwari K
World Journal of Pathology 2015, 4:7

Abstract

Background

Aspergillosis of head and neck region primarily affect nose and paranasal sinuses. Mycotic infections are raising globally both in immunocompetent and immunocompromised individuals. These infections mimic malignancy clinically and radiologically. They pose a diagnostic and therapeutic challenge to the physician. In such cases, aspiration cytology plays a crucial role in early and definitive diagnosis of mycotic infections.

Case Presentation

We herein present a case of 75-year-old male presented to the surgical department of our hospital with right maxillary region swelling with a discharging sinus since 2 months. Clinically suspected as sebaceous cyst/malignancy. Fine needle aspiration cytology (FNAC) was advised and showed giant cell lesion with fungal hyphae, morphologically suggestive of Aspergillosis.

Conclusions

Early diagnosis with aspiration cytology will help the clinician for prompt and appropriate management and follow up in order to reduce the morbidity and mortality associated with its destructive nature. The goal of this case report was to highlight the importance of FNAC in diagnosing subcutaneous mycotic infections promptly and to avoid further complications of the disease.

Key words

Aspiration cytology, aspergillosis, mycotic infections.

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