-transparent.png){kind=logo}
A 44-year-old man, a heavy smoker over many years, complained of hoarseness for 8 weeks with weight loss and dysphagia. Malignant tumour of the pharynx was suspected. Examination revealed a swelling of the right upper lip, tumorous changes in the right buccal mucosa, about 6 x 6 cm in size, as well as enlargement of the cervical lymph-nodes. Microlaryngoscopy revealed a three-level tumour of the entire side of the right larynx. Histological examination of biopsies of the right false and true vocal cords as well as the buccal mucosa demonstrated numerous, partly caseous epithelioid granulomas with Langhans giant cells. Ziehl-Neelsen staining showed acid-fast rods. Combined tuberculostatic treatment with isoniazid, rifampicin, ethambutol and pyrazinamide achieved regression of all signs and symptoms within two months. This case emphasizes the need for including laryngeal tuberculosis in the differential diagnosis of seemingly malignant laryngeal tumours.
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
October 1991,
Deutsche medizinische Wochenschrift (1946),
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
January 1950,
Vestnik otorinolaringologii,
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
June 1980,
Problemy tuberkuleza,
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
September 2016,
European annals of otorhinolaryngology, head and neck diseases,
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
January 1979,
Zhurnal ushnykh, nosovykh i gorlovykh boleznei = The journal of otology, rhinology, and laryngologie [sic],
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
August 1990,
HNO,
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
January 1971,
JAMA,
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
January 2004,
Epidemiologia e prevenzione,
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
September 2008,
Presse medicale (Paris, France : 1983),
T Held, and
W Rössler, and
A Reichelt, and
M Mielke, and
M Alexander
October 1968,
American journal of surgery,
