scholarly journals Primary laryngeal tuberculosis mimicking laryngeal carcinoma: CT scan features

2010 ◽  
Vol 20 (1) ◽  
pp. 11 ◽  
Author(s):  
Ech-CherifN El Kettani ◽  
MR El Hassani ◽  
N Chakir ◽  
M Jiddane
2019 ◽  
Vol 7 (19) ◽  
pp. 3262-3264
Author(s):  
Taher Felemban ◽  
Abdullah Ashi ◽  
Abdullah Sindi ◽  
Mohannad Rajab ◽  
Zuhair Al Jehani

BACKGROUND: Having hoarseness of voice as the first clinical manifestation of tuberculosis is rare. This atypical presentation causes some confusion since other more common conditions, such as laryngeal carcinoma, present similarly and might require more invasive tests to confirm the diagnosis. CASE PRESENTATION: A 38-year-old male presented to the otorhinolaryngology clinic with a four-month history of change in voice. Laryngoscopy demonstrated a right glottic mass, raising suspicion of laryngeal cancer. The computed tomography showed a mass and incidental finding of opacities in lung apices. Chest x-ray demonstrated findings suggestive of tuberculosis. Polymerase chain reaction and culture of sputum samples confirmed the diagnosis and the patient was started on anti-tuberculosis treatment. CONCLUSION: Despite accounting for only 1% of pulmonary tuberculosis cases and having a similar presentation to laryngeal carcinoma, we recommend considering laryngeal tuberculosis when evaluating hoarseness of voice in endemic areas.


2018 ◽  
Vol 27 (2) ◽  
pp. 81-83 ◽  
Author(s):  
Arzu Cengiz ◽  
Sibel Göksel ◽  
Yeşim Başal ◽  
Şule Taş Gülen ◽  
Füruzan Döğer ◽  
...  

2020 ◽  
Vol 8 (1) ◽  
pp. 54-57
Author(s):  
Mohammed Nizamuddin ◽  
Mohammed Naseeruddin ◽  
Anand Abkari

Background: MRI imaging offers more sensitivity than CT to cartilage invasion but results in a high rate of false-positive studies which decreases their overall accuracy. The objective is to compare accuracy of CT scan vs MRI in the laryngeal carcinoma. Subjects and Methods: All patients have been diagnosed, with and without contrast, including neck MRI and CT. In order to prevent invalidation, before laryngeal biopsy, MRI and CT scanning have been done such that the images are not altered by peri tumorous inflammation. Results: The MRI classification was right  for 20 out of 25 patients (80 percent) and 5 outsized cases: three cT1b lesions were pT1a and two cT1a lesions were squamous cell papilloma’s during pathological examination. CT was accurately identified in 17 out of 25 patients (68%), with 8 understated cases: 3 cT1a lesions by     CT were pT1b, 3 cT1a lesions were pT3, and 2 tumours had not been found in the CT scan. Conclusion: Our research showed that MRI in preoperative stage early glottic cancer is more sensitive than CT to accurately select eligible patients for conservatory larynx surgery like super cricoid laryngectomy and cordectomy.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Marc Foucher ◽  
Raphaëlle Barnoud ◽  
Guillaume Buiret ◽  
Jean-Christian Pignat ◽  
Marc Poupart

Background. The objective of this study is to assess the accuracy of pre- and posttherapeutic staging of endolaryngeal cancer involving anterior commissure. Materials and Methods. 127 patients were included in this retrospective study, and laryngectomy (partial or radical) was achieved in all of them. Initial radioclinical evaluation (cT) was performed (endoscopy-CT scan) and compared with postoperative histopathological findings. Results. 24,6% of cT2 and 33,3% of cT3 laryngeal tumors were reclassified pT4 after the histopathological examination. Conclusion. pre-therapeutic staging (combining endoscopy-CT scan) of endolaryngeal cancer involving anterior commissure is inadequate and sometimes underestimates thyroid cartilaginous invasion. Nethertheless, a precise diagnostic assessment by surgery with postoperative histological findings is possible. Cartilage and/or paraglottic structures are involved, or not, on the laryngectomy specimen exam. So surgery should always be discussed in first line in transdisciplinary meeting for endolaryngeal cancer management.


1976 ◽  
Vol 85 (4) ◽  
pp. 547-548 ◽  
Author(s):  
Sirus Naraqi ◽  
Manfred W. Raiser ◽  
N. Mark Richards ◽  
Burton R. Andersen

A patient with laryngeal and pulmonary tuberculosis is described. The similarity between the clinical presentation and gross appearance of laryngeal carcinoma and tuberculosis in this patient and others reported in the literature is emphasized. Laryngeal biopsy is necessary to establish the correct diagnosis, but this must be done only after the proper precautions are taken to reduce the risk of infection to the physician performing the biopsy. Examination of the chest x-ray and acid-fast stain of the sputum are rapid and highly reliable screening tests for laryngeal tuberculosis.


2005 ◽  
Vol 120 (2) ◽  
pp. 151-153
Author(s):  
Suetaka Nishiike ◽  
Miki Nagai ◽  
Aya Nakagawa ◽  
Masaki Konishi ◽  
Yoshiharu Sakata ◽  
...  

Laryngeal tuberculosis is a rare entity and the disease related to laryngeal cancer is extremely rare. We describe a case of laryngeal tuberculosis in a 74-year-old man with a history of radiotherapy for laryngeal carcinoma four months earlier. Laryngoscopy demonstrated a white mass on the right vocal fold at the site carcinoma had previously occupied. Recurrence of the cancer was suspected, but the biopsy result showed histological features of tuberculosis. We discuss the derangement of the host's mucosal barrier by the malignancy as a contributing factor in secondary tuberculous infection. Tubercular bacilli may be reactivated due to the immunosuppression associated with the therapy.


Author(s):  
Jovan JAVORAC ◽  
Dejan ŽİVANOVİĆ ◽  
Aleksandra LOVRENSKİ ◽  
Ana MİLENKOVİĆ ◽  
Darinka KUKAVİCA ◽  
...  

2013 ◽  
Vol 10 (1) ◽  
pp. 40-42
Author(s):  
M Junaid ◽  
S Qadeer ◽  
ZA Sobani ◽  
S Haroon ◽  
S Ghaffar

Laryngeal tuberculosis (TB) occurs in about 1% of patients suffering from pulmonary tuberculosis; however presentation of these patients with primary laryngeal symptoms is a rarity. In such situations it forms a diagnostic dilemma between laryngeal TB and the more common laryngeal carcinoma. Highlighting this dilemma we present our patient, a 76 year old male, farmer presenting with primary complaints of progressive dysphagia for 3 weeks. This patient happens to be our second case of laryngeal TB, presenting with primary laryngeal symptoms in a span of under 2 years. We present these cases to emphasize that although laryngeal tuberculosis presenting with primary laryngeal symptoms is a rarity, it must be considered when evaluating dysphagia or dysphonia in populations where TB is endemic. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(1); 40-42 DOI: http://dx.doi.org/10.3126/saarctb.v10i1.8676


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