Differential Diagnosis of Rare Non-Tumoral Diseases of the Pharynx And Larynx
https://doi.org/10.37174/2587-7593-2018-1-3-58-65
Abstract
Diagnosis of neoplasms, especially malignant, of the larynx and pharynx and their differential diagnosis with non-tumor lesions is one of the most urgent and socially significant problems in modern oncology. Over 3000 patients with suspected cancer of the larynx and pharynx were examined in the Moscow Regional Research and Clinical Institute over the last 10 years. In most cases a CT scan was performed. Rare non-tumor diseases were confirmed in 0,5 % of the cases. In all the cases further clinical laboratory tests were carried out after the radiation examination, confirming the non-tumor nature of the identified changes, which fundamentally changed the tactics of treatment.
About the Authors
E. A. Stepanova
Moscow Regional Research and Clinical Institute
Russian Federation
Moscow
Russian Federation
Moscow
M. V. Vishnyakova
Moscow Regional Research and Clinical Institute
Russian Federation
Moscow
Russian Federation
Moscow
D. M. Mustafaev
Moscow Regional Research and Clinical Institute
Russian Federation
Moscow
Russian Federation
Moscow
D. V. Akhtyamov
Moscow Regional Research and Clinical Institute
Russian Federation
Moscow
Russian Federation
Moscow
D. V. Podrez
Moscow Regional Research and Clinical Institute
Russian Federation
Moscow
Russian Federation
Moscow
References
1. Пачес А.И. Опухоли головы и шеи. – М.: Медицина, 1997. 480 c.
2. Ушаков В.С., Иванов С.В. Рак гортани: современные возможности и перспективы // Практическая онкология. 2003. Т. 4. № 1. С.56–60.
3. Ibrahim N.A., Fadeyibi I.O. Ectopic thyroid: etiology, pathology and management // Hormones 2011. Vol. 10. № 4. P. 261–9.
4. Larochelle D., Arcand P., Belzile M., Gagnon N.B. Ectopic thyroid tissue – a review of the literature // J. Otolaryngol. 1979. Vol. 8. P. 523–30.
5. Kalan A., Tariq M. Lingual thyroid gland: clinical evaluation and comprehensive management // Ear. Nose Throat J. 1999. Vol. 78. P. 340–1, 345–9.
6. Kansal P., Sakati N., Rifai A., Woodhouse N. Lingual thyroid. Diagnosis and treatment // Arch. Intern. Med. 1987. Vol. 147. P. 2046–8.
7. Sung Y.M., Lee K.S., Han J., Cho E.Y. Intratracheal ectopic thyroid tissue with adenomatous hyperplasia in a pregnant woman // Amer. J. Roentgenol. 2008. Vol. 190. P. 161–3.
8. Wong R.J., Cunningham M.J., Curtin H.D. Cervical ectopic thyroid // Amer. J. Otolaryngol. 1998. Vol. 19. P. 397–400.
9. Ibrahim N.A., Oludara M.A. Lateral cervical ectopic thyroid masses with eutopic multinodular goiter: an unusual presentation // Hormones (Athens). 2009. Vol. 8. P. 150–3.
10. Malone Q., Conn J., Gonzales M. et al. Ectopic pituitary fossa thyroid tissue // J. Clin. Neurosci. 1997. Vol. 4. P. 360–3.
11. Tiberti A., Damato B., Hiscott P., Vora J. Iris ectopic thyroid tissue: report of a case // Arch. Ophthalmol. 2006. Vol. 124. P. 1497–500.
12. Toso A., Colombani F., Averono G. et al. Lingual thyroid causing dysphagia and dyspnoea. Case reports and review of the literature // Acta Otorhinolaryngol. Ital. 2009. Vol. 29. P. 213–7.
13. Pickhard A., Smith E., Rottscholl R. et al. Disorders of the larynx and chronic inflammatory diseases // Laryngorhinootologie. 2012. Vol. 91. № 12. P. 758–66. DOI: 10.1055/s-0032-1323769.
14. Lawry G.V., Finerman M.L., Hanafee W.N. et al. Laryngeal involvement in rheumatoid arthritis. A clinical, laryngoscopic, and computerized tomographic study // Arthritis Rheum. 1984. Vol. 27. № 8. P. 873–82.
15. Voulgari P.V., Papazisi D., Bai M. et al. Involvement in rheumatoid arthritis // Rheumatol. Int. 2005. Vol. 25. № 5. P. 321–5.
16. Ylitalo R., Heimburger M., Lindestad P.A. Vocal fold deposits in autoimmune disease – an unusual cause of hoarseness // Clin. Otolaryngol. Allied. Sci. 2003. Vol. 28. № 5. P. 446–50.
17. Cheuk W., Chan J.K. IgG4-related sclerosing disease: a critical appraisal of an evolving clinicopathologic entity // AdvAnatPathol. 2010. Vol. 17. № 5. P. 303–32. DOI: 10.1097/PAP.0b013e3181ee63ce.
18. Kyle R.A. Amyloidosis: a convoluted story // Brit. J. Haematol. 2001. Vol. 114. № 3. P. 529–38.
19. Sideras K., Gertz M.A. Amyloidosis // Adv. Clin. Chem. 2009. Vol. 47. P. 1–44.
20. Gilad R., Milillo P., Som P.M. Severe diffuse systemic amyloidosis with involvement of the pharynx, larynx, and trachea: CT and MR findings // AJNR Amer. J. Neuroradiol. 2007. Vol. 28. № 8. P. 1557–8.
21. Siddachari R.C., Chaukar D.A., Pramesh C.S. et al. Laryngeal amyloidosis // J. Otolaryngol. 2005. Vol. 34. № 1. P. 60–3.
22. Ergas D., Abramowitz Y., Lahav Y. et al. Exertion dyspnea and stridor: an unusual presentation of localized laryngeal amyloidosis // Isr. Med. Assoc. J. 2006. Vol. 8. № 1. P. 73–4.
23. Morawska A., Wiatr M., Składzień J. Ways of treatment of non-malignant laryngeal tumors in older patients – laryngeal amyloidosis // Otolaryngol. Pol. 2008. Vol. 62. № 2. P. 141–4.
24. Belmont M.J., Behar P.M., Wax M.K. Atypical presentations of actinomycosis // Head Neck. 1999. Vol. 21. № 3. P. 264–8.
25. Allen H.A. 3rd, Scatarige J.C., Kim M.H. Actinomycosis: CT findings in six patients // AJR Amer. J. Roentgenol. 1987. Vol. 149. № 6. P. 1255–8.
26. Silverman P.M., Farmer J.C., Korobkin M., Wolfe J. CT diagnosis of actinomycosis of the neck // J. Comput. Assist. Tomogr. 1984. Vol. 8. № 4. P. 793–4.
27. Nagler R., Peled M., Laufer D. Cervicofacialactinomycosis: a diagnostic challenge // Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 1997. Vol. 83. № 6. P. 652–6.
28. Ermis I., Topalan M., Aydin A., Erer M. Actinomycosis of the frontal and parotid regions // Ann. Plast. Surg. 2001. Vol. 46. № 1. P. 55–8.
29. Nagler R.M., Ben-Arieh Y., Laufer D. Case report of regional alveolar bone actinomycosis: a juvenile periodontitis-like lesion // J. Periodontol. 2000. Vol. 71. № 5. P. 825–9.
30. Weber A.L., Siciliano A. CT and MR imaging evaluation of neck infections with clinical correlations // Radiol. Clin. North Amer. 2000. Vol. 38. № 5. P. 941–68, ix.
31. Ha H.K., Lee H.J., Kim H. et al. Abdominal actinomycosis: CT findings in 10 patients // AJR Amer. J. Roentgenol. 1993. Vol. 161. № 4. P. 791–4.
32. Kwong J.S., Muller N.L., Godwin J.D. et al. Thoracic actinomycosis: CT findings in eight patients // Radiology. 1992. Vol. 183. № 1. P. 189–92.
33. Von Lichtenberg F. Infectious disease. In: Contran R.S., Kumar V., Robbins S.L., editors. Pathologic basis of disease. 4th ed. Philadelphia: Saunders. Vol. 1989. P. 383–4.
Review
For citations:
Stepanova E.A., Vishnyakova M.V., Mustafaev D.M., Akhtyamov D.V., Podrez D.V. Differential Diagnosis of Rare Non-Tumoral Diseases of the Pharynx And Larynx. Journal of oncology: diagnostic radiology and radiotherapy. 2018;1(3):58-65. (In Russ.) https://doi.org/10.37174/2587-7593-2018-1-3-58-65
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