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터어키안 주위 종양으로 오인된 침윤성 아스페르길루스 접형동염
김준학 ( Jun Hak Kim ),최경미 ( Gyeong Mi Choi ),안성기 ( Sung Ki Ahn ),송준호 ( Joon Ho Song ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2008 대한뇌종양학회지 Vol.7 No.2
Invasive Aspergillus sphenoidal sinusitis rarely occurs and it is a potentially life threatening disease. It can be divided into an acute fulminant form with rapid disease progression and a chronic non-fulminant form. We report a case of fulminant invasive Aspergillus sphenoidal sinusitis in a 69-year-old diabetic woman who presented with ptosis of left eye and headache. Neuroimaging studies showed osteolytic tumor-like lesion in the sphenoidal sinus. Mass removal was performed using endonasal transsphenoidal approach and surgical biopsy revealed fungal hyphae in the specimen. In spite of using massive antifungal agents, the patient died of brain invasion and septisemia.