Candidal Granuloma on the Lip Masquerading as Squamous Cell Carcinoma

J. Kim, Y. Jang, Seok-Jong Lee
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引用次数: 0

Abstract

Skin fungal infections are sometimes misdiagnosed as malignancies and vice versa. Herein, we present the case of a 78-year-old woman who visited our clinic because of a rapidly growing "hard-crusted nodule" on the lower lip persisting for 1 month. Keratoacanthoma or squamous cell carcinoma (SCC) was initially considered. However, the histopathological findings revealed suppurative granuloma and fungal elements without atypical cells. Candida albicans was grown in tissue culture. The lesions were treated with topical ketoconazole. After 2 years, the patient revisited because of a black-crusted nodule on the left corner of her mouth that had been persisting for 1 month. The nodule resembled SCC. Histopathological examination revealed suppurative granuloma and fungal elements. After confirming Candida glabrata in fungal culture, the lesion was diagnosed as candidal granuloma and disappeared spontaneously without any treatment. Herein, we report a case of candidal granuloma on lip mimicking recurrent malignancies.
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唇部假丝酵母菌肉芽肿伪装成鳞状细胞癌
皮肤真菌感染有时被误诊为恶性肿瘤,反之亦然。在此,我们报告一位78岁的女性因下唇快速生长的“硬痂结节”持续1个月而来我们诊所就诊。角棘瘤或鳞状细胞癌(SCC)最初考虑。然而,组织病理学结果显示化脓性肉芽肿和真菌成分,无非典型细胞。在组织培养中培养白色念珠菌。病灶局部用酮康唑治疗。2年后,患者再次就诊,因为她的左嘴角有一个黑色结痂结节,持续了1个月。结节类似鳞状细胞癌。组织病理学检查显示化脓性肉芽肿和真菌成分。经真菌培养确认为光秃念珠菌后,诊断为念珠菌肉芽肿,未经治疗自行消失。在此,我们报告一例假丝酵母菌肉芽肿唇模仿复发恶性肿瘤。
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来源期刊
Journal of Mycology and Infection
Journal of Mycology and Infection Medicine-Infectious Diseases
CiteScore
0.20
自引率
0.00%
发文量
13
期刊介绍: The Journal of mycology and infection (Acronym: JMI, Abbreviation: J Mycol Infect) aims to publish articles of exceptional interests in the field of medical mycology. The journal originally was launched in 1996 as the Korean Journal of Medical Mycology and has reformed into the current state beginning on March of 2018. The contents of the journal should elucidate important microbiological fundamentals and provide qualitative insights to respective clinical aspects. JMI underlines the submission of novel findings and studies in clinical mycology that are enriched by analyses achieved through investigative methods. The journal should be of general interests to the scientific communities at large and should provide medical societies with advanced breadth and depth of mycological expertise. In addition, the journal supplements infectious diseases in adjunct to the field of mycology to address a well-rounded understanding of infectious disorders. The Journal of mycology and infection, which is issued quarterly, in March, June, September and December each year, published in English. The scope of the Journal of mycology and infection includes invited reviews, original articles, case reports, letter to the editor, and images in mycology. The journal is compliant to peer-review/open access and all articles undergo rigorous reviewing processes by our internationally acknowledged team of editorial boards. The articles directed to publication should encompass in-depth materials that employ scholastic values of mycology and various infectious diseases. Articles responding to critical methodology and outcomes which have potential to enhance better understanding of mycology and infectious diseases are also suitable for publication.
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