A Rare Frontal Sinus Tumor Mimicing A Mucocele

Abstract

Mucoceles are chronic, expanding, mucosa lined pathology of the paranasal sinuses. Frontal mucocele usually presents with the visual complaints such as diplopia, diminution of vision, visual field defect, ptosis, orbital swelling, retro-orbital pain, displacement of eye globe, and proptosis. Very rarely, it can be present as a subcutaneous swelling. This case report presents a 62-year-old male patient presenting with intermittent headache and blood stained nasal discharge of 6months duration. Surgical excision was done and the sample was sent for histopathological examination which confirmed the diagnosis of a poorly differentiated tumour. Postoperatively, the patient was asymptomatic and was referred to the department of oncology for further management. A subcutaneous soft-tissue mass may be the presenting complaint of a frontal mucocele. Careful examination of the surrounding skin may suggest the diagnosis of sinus-related disease and thus direct appropriate investigations and treatment measures.