gms | German Medical Science

85th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

28.05. - 01.06.2014, Dortmund

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A 47-year-old patient. Laryngeal tuberculosis similar to laryngeal cancer

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  • corresponding author Eugen Radu Boia - Spitalul Clinic Municipal Timisoara, Timisoara, Romania
  • Nicolae Constantin Balica - Spitalul Clinic Municipal Timisoara, Timisoara, Romania
  • Flavia Baderca - Spitalul Clinic Municipal Timisoara, Timisoara, Romania
  • Marioara Poenaru - Spitalul Clinic Municipal Timisoara, Timisoara, Romania
  • Caius Doros - Spitalul Clinic Municipal Timisoara, Timisoara, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 85. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Dortmund, 28.05.-01.06.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14hnod008

doi: 10.3205/14hnod008, urn:nbn:de:0183-14hnod0080

Published: April 14, 2014

© 2014 Boia et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

A 47-year-old female presented with a 3-month history of sore throat, intense odinophagia, dysphagia, hoarseness, weight loss and chronic cough. Tumoral lesions involving the supraglottic and glottic region were detected at fiberoptic hypopharyngolaryngo-scopic examination. The epiglottis was partially amputated on the right side, the tumor involved true and false vocal cords, predominantly on the right side and true vocal cords movement was impaired. Stasis in the piriform sinuses was also present.

The plain chest X-ray showed bilateral lesions in the upper pulmonary areas. The bacteriologic examination of the sputum was positive for acid fast bacteria. Laryngeal biopsy tissue was collected to exclude the co-existence of laryngeal carcinoma. Histopathological examination of the biopsy specimen revealed a specific chronic inflammatory process:

The patient underwent antituberculosis treatment with symptoms resolution.

We present this case to stress out about the incidence of the tuberculosis in young and adult population.

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