PULMONARY MALIGNANCY ASSOCIATED WITH GRANULOMATOUS VASCULITIS IN THE MAXILLARY SINUS

A 63-year-old man presented with pulmonary infiltrates and maxillary s inusal opacities. Although necrotizing vasculitis and granulomatous in flammation were present in nasal mucosa, pulmonary biopsy revealed ade nocarcinoma. Simultaneous appearance of granulomatosis in the maxillar y sinus and necrotic lung nodule does not necessarily mean that the lu ng abnormalities are also granuloma. This case report suggests that di fferential diagnosis between Wegener's granulomatosis and lung carcino ma may be difficult.