Ciger E, Demiray U, Onal K, Songu M
Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey.
J Laryngol Otol. 2012 Aug;126(8):844-6. doi: 10.1017/S0022215112001247.
We report an unusual case of a fungus ball in the concha bullosa, without involvement of the paranasal sinuses.
A 29-year-old woman presented complaining of nasal obstruction and postnasal discharge. Paranasal computed tomography demonstrated that the concha bullosa in the right middle turbinate was filled with a high-density material. The patient underwent endoscopic resection of the concha bullosa, during which a dark brown, cheese-like material was found. Histopathological examination of the excised specimen revealed a fungus ball.
Fungus balls are non-invasive accumulations of dense fungal concretions that generally affect healthy individuals. In the sinonasal region, they occur most frequently in the maxillary sinus. Although fungus ball formation in the concha bullosa is unusual, it should be considered in the differential diagnoses of middle turbinate and sinonasal pathology.
我们报告一例罕见的泡状鼻甲真菌球病例，未累及鼻窦。
一名29岁女性因鼻塞和鼻后滴漏前来就诊。鼻窦计算机断层扫描显示右侧中鼻甲的泡状鼻甲内充满高密度物质。患者接受了泡状鼻甲的内镜切除术，术中发现深棕色、奶酪样物质。对切除标本进行组织病理学检查显示为真菌球。
真菌球是致密真菌凝块的非侵袭性积聚，通常影响健康个体。在鼻窦区域，它们最常发生在上颌窦。虽然泡状鼻甲中形成真菌球不常见，但在中鼻甲和鼻窦病变的鉴别诊断中应予以考虑。
