Primitive tuberculosis of the nasopharynx is rare. Clinical symptoms and paraclinical examinations are often confusing. Pseudotumour forms are frequent, which poses a problem of differential diagnosis with cavum cancer. We reported two cases of nasopharyngeal tuberculosis, followed up in the ear, nose and throat department of the Arrazi Hospital of the Mohammed VI University Hospital in Marrakesh. The first case concerned a 22-year-old female patient admitted to hospital for an etiological assessment of a right spinal adenopathy evolving in a context of altered general condition with weight loss, anorexia, and night sweats. The second case was a 14-year-old patient with a fistulised right spinal adenopathy with nasal obstruction and homolateral deafness. Nasofibroscopy in both patients showed a burgeoning tumour on the right posterolateral wall. A biopsy of the cavum was indicated. The histological study of the biopsies revealed an epithelial-giganto-cellular granuloma with caseous necrosis. This allowed to make the diagnosis of nasopharyngeal tuberculosis, and an antibacillary treatment was instituted. The evolution was favorable.

Aims: Granular cell tumor is an extremely rare tumor, accounting for 0.5% of all soft tissue tumors. This rare neoplasia have variable age, sex and ethnicity predilection. Positive staining for S-100 protein confirms the diagnosis and no harmonized treatment guideline is established. We report true this manuscript a rare case of benign of granular cell tumor of the hypopharynx. Materials and Methods: Case report. Results: We add to the literature arsenal of this entity by reporting this rare case of benign of granular cell tumor of the hypopharynx in A 74 years-old female patient with hypertension, suffered from dysphonia for about 6 months. Examination identified a budding tumor in the left piriform sinus. Ct scan showcased a 1 cm irregular, spontaneously hypodense, slightly enhanced after injection mass, infiltrating the left piriform sinus. Excisional biopsy confirmed the diagnosis and follow-up was uneventful. Conclusion: Originating from the Schwann cells; Granular cell tumor has nonspecific symptoms and usually displays as small, smooth, submucosal lesion. Variant of this tumor can be classified as either as synchronous or metachronous, or either malignant, begin or atypical.

Introduction: Uncommon thyroid and neuendocrine tumor; medullary thyroid carcinoma (MTC) is uncommon, aggressive malignancy, with a 10-year survival rate of roughly 50%. Clinical presentation of MTC differs from sporadic to familial variety, but frequently it is showcased as painless thyroid nodule. Metastatic medullar carcinoma without nodules is scanty, adding to the unpredictable behaviors of this entity, Case Presentation: Thus the report of this rare presentation in 57 years-old patient with cervical metastatic lymphadenopathy and a normal sized thyroid and no distant metastases to which the patient underwent neoadjuvant chemotherapy because the encompassment of the vascular axis. Conclusion: Metastasis medullary thyroid carcinoma with normal seize thyroid is somehow unheard of in the literature as this rare aggressive tumor is usually diagnostic at a stage where the thyroid nodule is accompanied with lymph node metastases.

Langerhans cell histiocytosis is a rare hematologic disease due to multiplication and accumulation of Langerhans cells, which are immature dendritic cells. The clinical presentation is highly variable and can range from isolated, self-healing skin or bone lesions to life-threatening multisystem disease. We report 2 cases confirmed by Histological and immunohistochemical evaluation of temporal bone biopsies. The first case is a 2-year-old child with chronic bilateral otorrhea and polyuria-polydipsia syndrome. Physical examination showed bilateral retroauricular redness and induration with filling all of the right and left external ear canal. Computed tomography showed osseous lysis of the temporal bone bilaterally. Magnetic resonance imaging of the brain showed the presence of pituitary infiltration. The second case is 2-year-old girl with chronic left otorrhea. Clinical examination objectified the presence of redness and induration in the left mastoid with the presence of an inflammatory polyp filling the entire left external auditory canal. Computed tomography revealed a left temporal bone lysis. Both patients were treated with chemotherapy.

<p class="abstract">Tracheostomy is executed routinely for several indications. It is a safe and life-saving procedure. In some cases, the tracheostomy tube has to be maintained for a long duration. We report a rare case of aspiration of a fractured tracheostomy tube. In the light of the literature, we reported the various factors leading to complications of tracheotomy. A 5-year-old boy, presenting to the emergency department for aspiration of a fractured tracheostomy tube accidentally during a cleaning process by his mother. On clinical examination, the patient was slightly symptomatic. A flexible bronchoscopy was made which objectified the presence of the cannula in the trachea, an additional chest X-ray was taken, which revealed the aspirated tracheostomy tube in the trachea and right main bronchus. Extraction was done by rigid bronchoscopy under general anesthesia. The postoperative course of the patient remain uneventful. In order to reduce the potentially fatal complications of the tracheotomy, it is necessary to insist on a regular medical follow-up.</p>