A case of maxillary mucocele associated with ITP masquerading maxilla carcinoma

R. K. Abdul Halim, Mohd. Razif Mohamad Yunus, M. Y.S. Hazim, Balwant Singh Gendeh

Research output: Contribution to journalArticle

Abstract

Objective: Incidence of mucocele in the maxillary sinus is rare which accounts 10% in paranasal sinus. There is no reported case of idiopathic thrombocytopenic purpura (ITP) associated with paranasal mucocele mimicking paranasal sinus carcinoma. We would like to present this case which had a diagnostic dilemma. Design: A 29 year-old gentleman, presented with unilateral facial swelling and nasal blockage with intermittent epistaxis mimicking a maxillary sinus tumour. Materials and Methods: A plain computed tomography (CT) of the paranasal sinus revealed large expansile opaque mass with evidence of erosion of anterior and posterolateral wall of maxillary sinus. Our initial impression was maxillary carcinoma with possibility of metastasis to bone marrow which caused thrombocytopenia (12 x 10-9/L). Intraoperatively on performing a Caldwell-Luc, we discovered that the contents were consistent with a mucocele which was removed and edges marsupialized. The patient presented with recurrence after 3 months and refused further surgery. Results: Histopathology report was consistent with mucocele. Conclusion: This is a very rare case of left maxillary sinus mucocele associated with underlying ITP which had a recurrence.

Original languageEnglish
Pages (from-to)417-419
Number of pages3
JournalInternational Medical Journal
Volume24
Issue number5
Publication statusPublished - 1 Oct 2017

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Mucocele
Idiopathic Thrombocytopenic Purpura
Maxilla
Maxillary Sinus
Paranasal Sinuses
Carcinoma
N,N-dimethyl-3,3-diphenyl-1-methylallylamine
Recurrence
Nasal Obstruction
Epistaxis
Thrombocytopenia
Bone Marrow
Tomography
Neoplasm Metastasis
Incidence
Neoplasms

Keywords

  • Caldwell-Luc
  • Maxillary carcinoma
  • Maxillary sinus mucocele
  • Thrombocytopenia idiopathic thrombocytopenic purpura (ITP)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A case of maxillary mucocele associated with ITP masquerading maxilla carcinoma. / Abdul Halim, R. K.; Mohamad Yunus, Mohd. Razif; Hazim, M. Y.S.; Gendeh, Balwant Singh.

In: International Medical Journal, Vol. 24, No. 5, 01.10.2017, p. 417-419.

Research output: Contribution to journalArticle

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AB - Objective: Incidence of mucocele in the maxillary sinus is rare which accounts 10% in paranasal sinus. There is no reported case of idiopathic thrombocytopenic purpura (ITP) associated with paranasal mucocele mimicking paranasal sinus carcinoma. We would like to present this case which had a diagnostic dilemma. Design: A 29 year-old gentleman, presented with unilateral facial swelling and nasal blockage with intermittent epistaxis mimicking a maxillary sinus tumour. Materials and Methods: A plain computed tomography (CT) of the paranasal sinus revealed large expansile opaque mass with evidence of erosion of anterior and posterolateral wall of maxillary sinus. Our initial impression was maxillary carcinoma with possibility of metastasis to bone marrow which caused thrombocytopenia (12 x 10-9/L). Intraoperatively on performing a Caldwell-Luc, we discovered that the contents were consistent with a mucocele which was removed and edges marsupialized. The patient presented with recurrence after 3 months and refused further surgery. Results: Histopathology report was consistent with mucocele. Conclusion: This is a very rare case of left maxillary sinus mucocele associated with underlying ITP which had a recurrence.

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