A 40-year-old female presented to Outpatient Department of our hospital with the chief complaint of hard swelling in post auricular region for 3-4 years which was progressively increasing in size. She didn't complain of any pain or other symptoms related to swelling except for cosmetic deformity. On examination, there was a single pyramidal shaped swelling with smooth margin of size around 5.5 x 4.5 cm at left post auricular region [Table/ Fig-1]. Swelling was bony hard in consistency, covered with skin, non tender and its base fixed to underlying bone. Surrounding area was devoid of any sinus or fistula. Past history of patient didn't reveal any history of trauma or infection. Otoscopic examination and audiometry were normal.
Sphenochoanal polyp is a rare form of choanal polyp which originates from the sphenoid sinus and extends to posterior choanae via sphenoethmoidal recess. Its occurrence is extremely rare. They can be easily mistaken for antrochoanal polyp. Symptomatically, it is similar to antrochoanal polyp. So, adequate preoperative evaluation with diagnostic nasal endoscopy and computed tomography or magnetic resonance imaging is necessary for correct diagnosis and planning of appropriate surgical procedures. Surgical resection is the treatment modality of choice. We here present a case of sphenochoanal polyp along with review of literature.
Ewing's sarcoma is a small round cell tumor, malignant in nature, typically affecting long bones and pelvis. It is most commonly presented in the pediatric age group. The occurrence of Ewing's sarcoma in the head-and-neck region is rare and is reported to be around 2%–3%, of which chances of having primary lesion are rarer. Among facial bones, mandible is the most commonly affected bone. Primary involvement of zygoma is extremely rare. Here, we present a case of primary Ewing's sarcoma of the left zygoma in a 17-year-old girl. The diagnosis was made after surgical resection, histopathology with immunohistochemistry confirmation, and cytogenetic study.
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