Department of E.N.T, J.N.M.C, Sawangi(m), Wardha, Maharashtra 442004, India.
Asian Pac J Trop Med. 2013 Mar;6(3):246-8. doi: 10.1016/S1995-7645(13)60033-4.
Tuberculosis has global presence and no part of human body is immune to it, most frequent site beings lungs. Nasopharyngeal tuberculosis is a rare type of extrapulmonary tuberculosis comprising only less than 1% of tuberculosis found in the upper respiratory tract. The authors are presenting here a case of primary tuberculousis affecting the nasopharynx (adenoids) which is one of the rare differential diagnosis of nasopharyngeal mass. Isolated nasopharyngeal tuberculosis is a rare condition even in the endemic areas. In literature there are varied clinical presentations of nasopharyngeal tuberculosis. Tuberculosis should be one of the differential diagnosis of nasopharyngeal lesion. Biopsy and histologic study should be performed in every patient to avoid misdiagnosis. When treated properly, nasopharyngeal tuberculosis carries a excellent prognosis, and complete resolution of disease is the rule.
肺结核在全球范围内存在,人体没有任何部位对其免疫,最常见的部位是肺部。鼻咽结核是一种罕见的肺外结核类型,仅占上呼吸道结核的不到 1%。作者在这里介绍了一例原发性结核影响鼻咽(腺样体)的病例,这是鼻咽肿块的罕见鉴别诊断之一。即使在流行地区,孤立性鼻咽结核也是一种罕见的情况。在文献中,鼻咽结核的临床表现多种多样。肺结核应该是鼻咽病变的鉴别诊断之一。应在每位患者中进行活检和组织学研究,以避免误诊。如果得到适当治疗,鼻咽结核的预后极佳,疾病完全缓解是常见的。