Abstract

Laryngeal tuberculosis was common in the past and usually accompanied by advanced pulmonary diseases. With the advent of effective antitubercu-lous chemotherapy, the clinical presentation now has a wider variety. Occa-sionally, patients with laryngeal tuberculosis may present with the symptoms and signs as laryngeal cancer. We encountered a case of laryngeal tuberculo-sis with unique clinical pictures simulating those of supraglottic laryngeal cancer. Hoarseness and a mass hard in consistency over the thyrohyoid memebrane with supraglottic tumefaction led to a tentative diagnosis of supraglottic laryngeal cancer. Chest X-ray was normal. Histopathologic study proved the diagnosis of tuberculosis with identification of the acid-fast bacilli. Antituberculous chemotherapy was given with an excellent response. In management of patients with either neck mass or laryngeal lesion, differ-ential diagnosis concerning laryngeal tuberculosis deserves special mention.

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