Tuberculosis manifested by a laryngeal mass on CT scans.

Laryngeal tuberculosis at the end of the 20th century

“…However, our patients' ages ranged from 48.5 years to 69.3 years (mean, 59.4 years). This shift to older ages is in agreement with the results of other studies in the developed world (Scully et al, 1983;Levenson et al, 1984;Couldery, 1990;Swallow et al, 1994). However, the number of patients in these studies is usually very small (case reports), and the number of patients (nine) in the present study is one of the largest in the recent literature.…”

“…In the past, the typical patient with laryngeal tuberculosis was 20-40 years old with advanced cavitary lung disease (Swallow et al, 1994). However, our patients' ages ranged from 48.5 years to 69.3 years (mean, 59.4 years).…”

“…This is another change in the clinical pattern of laryngeal tuberculosis. Although an ulcerated larynx can still be encountered (Tong and Van Hasselt, 1993), the balance of the recent literature suggests that in the majority of cases the lesion is hypertrophic or even exophytic (Rupa and Bhanu, 1989;Swallow et al, 1994;Singh et al, 1996). The danger of misdiagnosis of laryngeal tuberculosis as laryngeal cancer is evident.…”

CT findings in a case of laryngeal sarcoidosis

“…Such a CT aspect of subglottic stenosis is not specific for sarcoidosis. Differential diagnosis includes postintubation or post-traumatic stenosis, Wegener's granulomatosis [7], amyloidosis, infectious granulomatous disease (tuberculosis, syphilis, rhinoscleroma, actinomycosis) [8], and idiopathic laryngotracheal stenosis [9]. Other causes of subglottic stenosis include lymphoma and squamous cell carcinoma, cartilaginous tumors, tracheomalacia, and tracheopathia osteochondroplastica; however, nasofibroscopy with biopsy remains the only way to prove the diagnosis.…”