증례

침습성 국균증과 동반된 침윤형 비부비강 혈관지방종 1예

장동엽3, 김대우3, 전시영1,2, 김상욱1,2,*
Dong-Yeop Chang3, Dae Woo Kim3, Sea-Yuong Jeon1,2, Sang-Wook Kim1,2,*
Author Information & Copyright
1경상대학교 의학전문대학원 이비인후과학교실
2건강과학연구원
3서울대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology; Gyeongsang National University School of Medicine, Korea
2Institute of Health Sciences, Jinju, Korea
3Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea
*교신저자: 김상욱, 660-702 경남 진주시 강남로 79 경상대학교 의학전문대학원 이비인후과 학교실 전화:(055) 750-8177· 전송:(055) 759-0613 E-mail: astroflower77@hanmail.net

© Copyright 2012 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 24, 2012; Revised: Oct 09, 2012; Accepted: Oct 31, 2012

Published Online: May 31, 2020

ABSTRACT

Angiolipoma is a benign adipose tissue tumor with marked vascular proliferation, which differentiates angiolipoma from common lipoma. Angiolipoma rarely occurs in head and neck regions. This is the first report on infiltrating angiolipoma arising from the pterygopalatine fossa accompanied by invasive aspergillosis. A-61-year-old male presented with diplopia which occurred after head trauma. An ill-defined mass originated from right pterygopalatine fossa was incidentally found by magnetic resonance imaging. The mass was removed via endonasal endoscopic approach combined with Caldwell-Luc approach. It was partially removed because the mass was firmly adhered to surrounding normal tissues and was adjacent to the right cavernous sinus. Pathologic examination confirmed the diagnosis of angiolipoma. Additionally, it unexpectedly revealed the presence of fungal hyphae inside the tissue obtained from right lamina papyracea. Following an antifungal medication for 6 months after surgery, the patient currently shows no evidence of invasive fungal infection at postoperative 9 months. (J Clinical Otolaryngol 2012;23:258–261)

Keywords: 혈관지방종; 국균증; 코; 부비강 종양
Keywords: Angiolipoma; Aspergillosis; Nose; Paranasal sinus neoplasm