Yadav S P S, Agrawal Arpit, Gulia J S, Singh Sunita, Gupta Arsh, Panchal Vineet
Department of Otolaryngology, Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India.
Case Rep Med. 2012;2012:548350. doi: 10.1155/2012/548350. Epub 2012 Dec 19.
The underdiagnosis of extrapulmonary tuberculosis lesions, along with an emerging global resistance to antitubercular drugs, warrants an increased awareness of the involvement of Mycobacterium tuberculosis in atypical lesions of oral cavity. Tongue is the most common site of oral tuberculosis. We report a rare presentation of lingual tuberculosis in a 65-year-old male, a chronic tobacco chewer, who came to us with swelling of the tongue which apparently looked like hemimacroglossia, leading to the clinical diagnosis of submucosal carcinoma of tongue. Enlargement of tongue is a slow process resulting from gradual invasion and lodging of bacilli in the tongue. Biopsy and histopathological examination revealed tuberculous etiology of the lesion and the patient responded well to antitubercular therapy.
肺外结核病变的诊断不足，以及全球范围内对抗结核药物新出现的耐药性，都需要提高对结核分枝杆菌累及口腔非典型病变的认识。舌部是口腔结核最常见的部位。我们报告了一例65岁男性舌结核的罕见病例，该男性长期嚼烟，因舌部肿胀前来就诊，外观看似半侧巨舌症，临床诊断为舌黏膜下癌。舌部肿大是一个缓慢的过程，是由于杆菌逐渐侵入并寄生于舌部所致。活检及组织病理学检查显示病变为结核病因，患者对抗结核治疗反应良好。
