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Farshchi S, Hasibi M, Ashtiani MT, et al. A misdiagnosis led to an extensive skull base surgery: infratemporal tuberculosis mimicking giant cell tumor. Indian J Otolaryngol Head Neck Surg. 2012;65(1):83-5doi: 10.1007/s12070-012-0591-9.
Farshchi, S., Hasibi, M., Ashtiani, M. T., Yazdani, N., Mokhtari, Z., & Farshchi, A. (2013). A misdiagnosis led to an extensive skull base surgery: infratemporal tuberculosis mimicking giant cell tumor. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 65(1), 83-5. https://doi.org/10.1007/s12070-012-0591-9
Farshchi, Samireh, et al. "A misdiagnosis led to an extensive skull base surgery: infratemporal tuberculosis mimicking giant cell tumor." Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India vol. 65,1 (2013): 83-5. doi: https://doi.org/10.1007/s12070-012-0591-9
Farshchi S, Hasibi M, Ashtiani MT, Yazdani N, Mokhtari Z, Farshchi A. A misdiagnosis led to an extensive skull base surgery: infratemporal tuberculosis mimicking giant cell tumor. Indian J Otolaryngol Head Neck Surg. 2013 Jan;65(1):83-5. doi: 10.1007/s12070-012-0591-9. Epub 2012 Nov 25. PMID: 24381928; PMCID: PMC3585568.
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Indian J Otolaryngol Head Neck Surg. 2013 Jan;65(1):83-5. doi: 10.1007/s12070-012-0591-9. Epub 2012 Nov 25.

A misdiagnosis led to an extensive skull base surgery: infratemporal tuberculosis mimicking giant cell tumor.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

Samireh Farshchi, Mehrdad Hasibi, Mohammad Taghi Khorsandi Ashtiani, Nasrin Yazdani, Zahra Mokhtari, Amir Farshchi

Affiliations

  1. Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir-A'lam Hospital, North Sa'adi Ave., Tehran, Iran.
  2. Department Of Infectious Diseases, Tehran University of Medical Sciences, Tehran, Iran.
  3. Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 24381928 PMCID: PMC3585568 DOI: 10.1007/s12070-012-0591-9

Abstract

Tuberculosis is a major health problem in developing countries. Tuberculosis of the infratemporal region is not common and the diagnosis could be complicated because of the similarity of the presentation to neoplasm. In our paper, we report a 49 year old male presented with a preauricular mass with extension to parotid in right side of the face. The primary histologic diagnosis was giant cell tumor with bony involvement and radical surgery was taken. After 16 months the patient was developed recurrence of the primary lesion in association with post auricular fistula. Ultimately, infratemporal tuberculosis was diagnosed according to result of the drained discharge by AFB microscopy. Therefore, tuberculosis should be considered as an important differential diagnosis of mass lesions in head and neck area, even when there is no history of significant exposure and no systemic signs or symptoms of tuberculosis.

Keywords: Giant cell tumor; Skull base; Tuberculosis

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