41 year old insulin-dependent diabetic man complained of swelling and redness of the left eyelid for several days

Question Number 0604

Question:
41 year old insulin-dependent diabetic man complained of swelling and redness of the left eyelid for several days. Examination of vision, pupils and motility were normal and there was no pain or diplopia on eye movement. The left cheek was tender to palpation. A CT scan was requested by the ENT physician. This showed opacified ethmoid and maxillary sinuses. An endoscopic ethmoidectomy was performed. Light microscopy of ethmoidectomy specimen was stained with H&E. This revealed fungal hyphae invading an arteriole. A likely diagnosis is

a) Lymphangiomas
b) Rhabdomyosarcoma
c) retinal vascular shunts
d) Retinoblastoma
e) Mucormycosis


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