Synchronous Mucocutaneous Paracoccidioidomycosis and Oral Squamous Cell Carcinoma: Report of Two Rare Cases.
José Alcides Almeida de Arruda, Giovanna Ferriello, Camila Metzner Tristão et al.
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Case in brief
Two men, aged 42 and 48, from Southeast Brazil presented with painful, ulcerated oral lesions characterized by granular features, diagnosed as synchronous mucocutaneous paracoccidioidomycosis (PCM) and oral squamous cell carcinoma (OSCC). Histopathological examination confirmed PCM, and both patients exhibited pulmonary involvement. Treatment with itraconazole was complicated by non-compliance. One patient underwent surgical resection for OSCC, while the other is receiving chemoradiotherapy.
Diagnostic / clinical pearl
Clinicians should be vigilant for the coexistence of oral squamous cell carcinoma with paracoccidioidomycosis, especially in endemic regions, and consider multi-site biopsies for granulomatous oral lesions.