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Sino-Orbital Fungal Granuloma: A Diagnostic Dilemma, Henry Seow, Rohit Singh, Dipak Ranjan Nayak, Manali Hazarika

Manipal Journal of Medical Sciences

Fungal granuloma of the sino-orbital region is uncommon. Although imaging modalities like CECT and MRI scans are usually helpful, a pre-operative diagnosis may still be difficult because of subtle overlapping clinical features and a rather indolent disease course. Due to the anatomical relations of the orbit, FNAC is generally difficult and has a high incidence of complications and false-negative results. We report a case of a middle-aged woman, who presented with a painless, progressive swelling below her right eyebrow with difficulty in looking upwards and to the right. Initial diagnoses of orbital dermoid cyst and frontal sinus mucocoele were made …