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Laryngeal tuberculosis following laryngeal carcinoma

Published online by Cambridge University Press:  25 November 2005

Suetaka Nishiike
Affiliation:
Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Japan
Miki Nagai
Affiliation:
Department of Otolaryngology, Suita Municipal Hospital, Suita, Japan
Aya Nakagawa
Affiliation:
Department of Otolaryngology, Suita Municipal Hospital, Suita, Japan
Masaki Konishi
Affiliation:
Department of Otolaryngology, Suita Municipal Hospital, Suita, Japan
Yoshiharu Sakata
Affiliation:
Department of Otolaryngology, Suita Municipal Hospital, Suita, Japan
Teruhito Aihara
Affiliation:
Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Japan
Tamotsu Harada
Affiliation:
Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Japan
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Abstract

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.

Type
Clinical Records
Copyright
© 2005 JLO (1984) Limited

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