DEPARTMENT OF PATHOLOGY

B.P. KOIRALA INSTITUTE OF HEALTH SCIENCES

DHARAN, NEPAL
HISTOPATHOLOGY REPORT
Acc. No.5815/22

Name of patient: Til Bahadur Rai Patient ID: 79089934

Age/ Sex: 73yrs/M Bill No: 342054

Material submitted as “Mass Tissue from (fungal) Right Nasal Cavity”.

Gross:
Received multiple bits of greywhite to greybrown soft tissue of size measuring together
1.2xx0.8cm.
Cut surface is solid, greywhite to greybrown.

Microscopy:
Section examined reveal multiple bits of mucosal tissue lined by pseudostratified ciliated
columnar epithelium with ulceration.
Multiple foci of tangled fungal hyphae exhibiting dichotomous branching at acute angle
with septation are seen along with superimposed bacterial colonies at places.
The viable nasal mucosa with underlying bony tissue showing moderate to dense
inflammatory cells infiltrates in the mucosa. Inflammatory cells composed of
lymphocytes, neutrophils, plasma cells and eosinophils.
Dilated and congested blood vessels are also observed.

Fungal organisms are highlightend by special stain (silver methenamine and periodic
Acid Schiff)

The overall histological features are consistent with Chronic Fungal Rhinosinusitis
possibly Aspergillosis.

Advice: Culture for definite categoarization.

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DATE: 23/11/2022 SIGNATURE

Dr. PARICHA UPADHYAYA
PATHOLOGIST