Oral paracoccidioidomycosis or squamous cell carcinoma?
Kaminagakura, E.; Graner, E.; de Almeida, O.P.; Di Hipolito Júnior, O.; Lopes, M.A.
General Dentistry 52(1): 48-50
2004
ISSN/ISBN: 0363-6771 PMID: 15055671 Document Number: 583975
Paracoccidioidomycosis is a deep, systemic, and progressive mycosis caused by Paracoccidioides brasiliensis. Oral lesions normally are multiples with a mulberry-like appearance. This article reviews an unusual case involving a chronic, solitary, and ulcerated lesion whose clinical aspects were similar to squamous cell carcinoma. Viewed microscopically, the lesion showed pseudoepitheliomatous hyperplasia and non-necrotizing granulomas. The patient was treated with systemic ketoconazole. Over the next 11 years, follow-up examinations were performed but no recurrence was observed.