Benign Hyperplasia of the Anterior Commissure and Left Vocal Cord in a Patient with Type-2 Diabetes Mellitus: A Case Report

Abstract

Background : A rise in the cell count of an organ or tissue called benign hyperplasia of the anterior commissure. Under a microscope, these cells seem healthy. they are not cancer, but they could develop into it. Cancerous cells can develop from normal cells. The body’s tissues go through irregular cell changes called hyperplasia and dysplasia before the development of cancerous cells. hyperplasia is an increase in the number of cells in an organ or tissue that look regular under a microscope. under a microscope, the cells in dysplasia seem irregular but are not cancerous. Dysplasia and hyperplasia might or might not develop into cancer. There is no overt sex preference for this unusual lesion, which occurs seldom and most frequently on the actual vocal cord in adults in their third, fourth, and fifth decades. Case Presentation : A patient with 42 yr male patient was admitted to a rural tertiary hospital in the E.N.T ward with the chief complaint of change in voice and breathlessness on exertion since eight months, Insidious in onset, hoarseness and difficulty in imitating speech in the morning, chronic sore throat, sometimes with ear pain, weight loss, blood in the sputum. Diagnostic evaluation : Physical examination and investigation of complete blood count, prostates specific antigen test, laryngoscopy, random blood sugar test, urine examination. Therapeutic Management : The doctors provided medical management like antibiotics, nonsteroidal anti-inflammatory drugs, antacids, proteolytic enzymes, steroids and vitamin C. All necessary treatment was given to the patient. Conclusion : Due to conservative management and quality of nursing care patient’s condition was stable and had no active complaints at discharge.