World Articles in Ear Nose and Throat 
Clinical Appearance of Benign Sinonasal Masses
 
ENT USA
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Case 6B:  Tropical Diseases - Rhinoscleroma              Go Back To BSM Manuscript

A 28 year old female presented with a complaint of bilateral nasal obstruction.  The diagnostic nasal examination showed a nodular mass, from which a biopsy was taken and sent for histological examination.


Figure 1:  Intranasal Appearance of Lesion 
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Figure 2:  Intranasal Appearance of Lesion 
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The histopathology revealed large, vacuolated histiocytes called Mikulicz cell and Russell bodies that are large, homogenous, eosinophilic cytoplasmic inclusions inside plasma cells and, hence, the lesion was labeled as Rhinoscleroma (see Figure 3).  The debulking of the mass with bilateral insertion of a nasal tube to maintain the patency was done (see Figure 4).


Figure 3:  Histological Appearance 
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Figure 4:  Post Operative Appearance of the
Patient With Nasal Tubes 
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The patient was given a course of Rifampicin and is following up in our outpatient department on a regular basis and is till now symptom free.

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World Articles in Ear, Nose and Throat  www.waent.org                 Jan 27, 2012             Vol 5-1

Copyright WAENT 2012 All Rights Reserved
 

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