| Laryngeal tuberculosis: a review of 26 cases. | |
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MedLine Citation:
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PMID: 17903574 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To review the clinical characteristics of laryngeal tuberculosis. STUDY DESIGN: Retrospective case series. SUBJECTS AND METHODS: Medical records of 26 histopathology-confirmed cases in a tertiary medical center from 1992 to 2006. RESULTS: The female patients were significantly younger than male patients. Hoarseness is the most common symptom (84.6%) because true vocal fold is most commonly involved (80.8%). Infection usually involves unilateral (66.7%) and right-side larynx but multiple subsites of the larynx (57.7%). The appearance of the affected larynx may have mixed features and change before diagnosis. Laryngeal tuberculosis is usually misdiagnosed as laryngeal cancer, especially in patients with malignant signs such as enlarged cervical lymph nodes and vocal fold immobility. Chest film is better than sputum examinations for screening. CONCLUSION: We should be especially alert about TB infection when facing young female patients with unusual laryngeal lesions. Extensive laser excision before diagnosis should be avoided because after antituberculous treatment, prognosis is usually good and vocal fold immobility could be reversible. |
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Authors:
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Chen-Chi Wang; Chang-Chun Lin; Ching-Ping Wang; Shih-An Liu; Rong-San Jiang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 137 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-01 Completed Date: 2007-12-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 582-8 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan. ccwang@vghtc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Aged Diagnosis, Differential Female Hoarseness / microbiology Humans Laryngeal Neoplasms / diagnosis Larynx / microbiology Lymph Nodes / microbiology Male Middle Aged Radiography, Thoracic Retrospective Studies Sex Factors Sputum / microbiology Tuberculosis, Laryngeal / diagnosis* Tuberculosis, Pulmonary / diagnosis Vocal Cord Paralysis / microbiology Vocal Cords / microbiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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