Tuberculous cervical lymphadenitis in a patient with laryngeal carcinoma

Abstract

To our knowledge, this is the first report of a laryngeal carcinoma with concurrent tuberculous cervical lymphadenitis. In the face of an unhelpful fine needle aspiration cytology examination, an assumption of metastatic neck disease could have been made. Subsequent surgical and/or oncological intervention would have been highly inappropriate, with potentially catastrophic effects. This case highlights the importance of proper diagnosis, and emphasises the fact that tuberculosis should always be borne in mind in the differential diagnosis.

Coexistence of tuberculosis and malignancy: a mere coincidence or a causal association

“…According to Kaplan et al., 2 concomitant TB and malignancy have been reported most commonly in Hodgkin’s lymphoma followed by sarcoma, leukaemia and lung cancer. Uncommonly, TB has also been found with carcinoma of the breast, 3–5 colon, 6,7 uterus, bladder, larynx, tongue and mouth, 8–11 stomach 12–14 and prostate. Both the cases reported in this series showed TB coexisting with solid organ malignancies.…”

The key role of 18F-FDG PET/CT for correct diagnosis, staging, and treatment in a patient with simultaneous NPC and TB lymphadenitis: case report

“…Only one case in which a tongue cancer occurred synchronously with cervical TB lymphadenitis was described (5, 8). Two other articles reported coexisting tuberculous lymphadenitis with head and neck malignancy, one with a soft palate cancer (9) and the other with a larynx cancer (10).…”

Tuberculous lesion of retropharyngeal lymph nodes responsible for labored nasal breathing

“…Наше наблюдение подтверждает особую сложность дифференциальной диагностики шейного лимфаденита у онкологических больных, что неоднократно отмечалось в литературе [3][4][5]. Данное клиническое наблюдение представляет интерес еще и потому, что подвергает сомнению необратимость изменений, происходящих в заглоточных ЛУ в процессе онтогенеза.…”