case_images: PMC7784190_01
case_images: PMC7784190_02
case_images: History timeline.
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case_images: PMC7784190_02_JAFES-35-2-200-g001.jpg
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case_images: After her miscarriages (Figure 1), she had amenorrhea at the age of 26 which was associated with loss of sexual desire.
case_images: (A) 3x4 cm pedunculated mass with rolled up borders and central ulceration (right nasolabial area); (B) 6x5 cm nodular mass (right anterior neck).
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case_images: PMC7784190_02_JAFES-35-2-200-g002.jpg
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case_images: As depicted on Figure 2, pertinent physical findings revealed a pedunculated mass with rolled up edges and central ulceration on the right nasolabial area. A nodular, non-tender mass was palpated over the right anterior neck that moved with deglutition.
case_images: CT Scan with contrast of the head and neck. (A) Ulcerating mass (right nasolabial area); (B) 6.5x5.0x4.8 cm enhancing mass with peripheral calcifications (right thyroid lobe). Incidental left parasellar 2.3x2.9x3.6 cm enhancing mass with erosion of posterior wall of the sphenoid sinus and petrous apex in a (C) Cross-sectional view and in (D) Coronal view.
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case_images: PMC7784190_02_JAFES-35-2-200-g003.jpg
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case_images: Cranial Magnetic Resonance Imaging (MRI). A 2.2x3.1x3.1 cm poorly defined complex mass predominantly solid in the sella with extension to left parasellar region. (A) T1 Weighted Image (T1WI) - Isointense (B) T1 contrast image - Isointense (C) T2 Weighted Image (T2WI) - Mixed Signals (D) Fluid Attenuation Inversion Recovery (FLAIR) post gadolinium study - homogenous contrast enhancement. Noted encasement of the cavernous portion of the left carotid artery and bony destruction of the left petrous apex bone.
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case_images: Histopathology report of nasolabial mass. (A) Nests & sheets of atypical basaloid cells (H&E, x40); (B) Atypical cells with palisading pattern at the periphery (H&E, x100).
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case_images: Final histopathologic report of the right nasolabial mass and thyroid mass revealed basal cell carcinoma and papillary thyroid carcinoma respectively as shown in Figures 5 and 6.
case_images: Histopathology report of thyroid mass. (A) Complex branching and randomly oriented papillae with fibro- vascular core associated with follicles lined by atypical cells (H&E, x40); (B) Atypical Cell with Orphan-Annie Nuclei and nuclear longitudinal grooves (H&E, x400).
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case_images: PMC7784190_02_JAFES-35-2-200-g006.jpg
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case_images: Final histopathologic report of the right nasolabial mass and thyroid mass revealed basal cell carcinoma and papillary thyroid carcinoma respectively as shown in Figures 5 and 6.