Abstract
Frontal sinus mucocele was our preoperative diagnosis in a patient who had frontal swelling and downward displacement of the eye. Supporting this were typical roentgenogram changes, a long history of asthma, pansinusitis, and previous multiple-polypectomy surgery. Frontal sinus exploration revealed a locally eroding lesion.
It was composed of spindled cells and lipid-laden histiocyctes with a pattern of fibrous xanthoma and was treated conservatively. It should not be confused with true malignancies such as fibrous histiocytoma having a similar histopathologic appearance and requiring more aggressive surgical treatment.
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References
1.
Spector
GJ
Ogura
JH
: Malignant fibrous histiocytoma of the maxilla. A report of an unusual lesion . Arch Otolaryngol
99 : 385 –387 , 1974 .
2.
Johnson
JT
Poushter
DL
: Fibrous histiocytoma of the subglottic larynx . Ann Otol Rhinol Laryngol
86 : 243 –246 , 1977 .
3.
Canalis
RF
Green
M
Knard
HR
: Malignant fibrous xanthoma (xanthofibrosarcoma) of the larynx . Arch Otolaryngol
101 : 135 –137 , 1975 .
4.
Wolfowitz
JL
Jaffe
A
: Fibrous histiocytoma of the pharynx . S Afr Mod
46 : 134 –135 , 1972 .
5.
Townsend
GL
Neel
HB
Weiland
LH
: Fibrous histiocytoma of the paranasal sinuses. Report of a case . Arch Otolaryngol
98 : 51 –52 , 1973 .
6.
Rice
DH
Batsakis
JG
Headington
JT
: Fibrous histiocytomas of the nose and paranasal sinuses . Arch Otolaryngol
100 : 398 –401 , 1974 .
7.
Barney
PL
: Atypical fibrous histiocytoma (fibroxanthoma) of the temporal bone . Trans Am Acad Ophthalmol Otolaryngol
76 : 1392 –1393 , 1972 .
8.
Lesica
A
Harwood
TR
Yokoo
H
: Atypical fibroxanthoma of ethmoid sinus . Arch Otolaryngol
101 : 506 –508 , 1975 .
9.
Dahlin
DC
: Bono Tumor: General Aspects and Data on 3,987 Cases . Springfield, Ill , Charles C Thomas, Publisher , 1967 , pp 97 –98 .