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Arch Otolaryngol Head Neck Surg. 2005;131:743-744.

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Diagnosis: Laryngeal tuberculosis (TB)

The clinical diagnosis in the present case was carcinoma of the supraglottic larynx. The diagnosis was supported by the CT findings (Figure 1 and Figure 2) and by the histopathology report. The CT scan revealed a supraglottic lesion that was highly suggestive of a neoplasm. The pathologist suspected a squamous cell carcinoma but requested a second biopsy for final confirmation because the specimen from the initial biopsy was inadequate. The second biopsy specimen revealed features of tubercular invasion rather than a carcinoma. Laryngeal TB is relatively uncommon, accounting for 0.79% of the TB cases.¹ The most common presenting symptom is hoarseness.^2-4 A history of smoking along with a recent onset of progressive hoarseness and an ulceration or a mass on mirror examination of the larynx should suggest the possibility of malignancy.^2-3 Moreover, the presence of pseudoepitheliomatous hyperplasia, which mimics squamous cell carcinoma, may raise the suspicion of carcinoma . . . [Full Text of this Article]

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