PMC9759975_01
MRI presented lesions of the pubis and surrounding soft tissue.
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MRI of the pelvis suggested that the soft tissue mass in the left inguinal region and the bone destruction of the left inferior pubic branch should be considered malignant tumors, and infectious lesions should not be excluded (Figure 1).
Pathology results showed fungal infection with mild dysplasia of histiocytic cells.
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Pathology after biopsy showed a fungal infection with mild dysplasia of histiocytic cells (Figure 2).
The appearance of the affected limb between different periods. (A) Broken biopsy wound, oozing viscous liquid. (B) After 12 weeks of treatment with oral fluconazole, the patient's symptoms disappeared.
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During the 4-week oral fluconazole treatment, the wound was broken (Figure 3A), so pus aspiration was performed on the tumor on the inside of the thigh, and cephalosporins were used to control the infection. Then, she went to the hospital for re-examination and found that the medial thigh and pubic lesions had basically disappeared (Figure 5), and the swelling of the patient's left thigh had disappeared (Figure 3B).
After 4 weeks of oral fluconazole treatment, the pubic lesions decreased in size.
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Four weeks after taking fluconazole, re-examination MRI showed that the mass on the medial side of the left thigh and the pubic lesions had decreased in size (Figure 4).    
After 12 weeks of oral fluconazole treatment, the pubic lesions basically disappeared.
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Then, she went to the hospital for re-examination and found that the medial thigh and pubic lesions had basically disappeared (Figure 5), and the swelling of the patient's left thigh had disappeared (Figure 3B).