Za'im Nur Ain Nabila, Azman Mawaddah
MD, Department of Otorhinolaryngology and Head and Neck Surgery, Level 9 Clinical Block, Universiti Kebangsaan, Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.
MS, Department of Otorhinolaryngology and Head and Neck Surgery, Level 9 Clinical Block, Universiti Kebangsaan, Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia, Email:
Malays Fam Physician. 2021 Sep 5;16(3):119-122. doi: 10.51866/cr1163. eCollection 2021 Nov 30.
Hoarseness accounts for 1% of all consultations in primary care. Suspicion of malignancy should be considered in individuals with risk factors presenting with unexplained hoarseness lasting more than two weeks. A significant number of patients with laryngeal cancer present at an advanced stage due to lack of awareness regarding vocal health. It is important to educate both the public and primary care health providers concerning laryngeal cancer. We present the case of an 81-year- old male smoker who presented to us with a six-month history of progressive hoarseness. He was initially treated in two primary and one secondary care centres, where a diagnosis of laryngeal cancer was not considered. Careful assessment in our centre managed to determine a diagnosis of T3N0M0 glottic carcinoma. We will discuss this alarming triad of progressive hoarseness in a male smoker to help primary care physicians streamline their thoughts and identify red flags in a hoarse patient.
声音嘶哑占基层医疗中所有会诊病例的1%。对于存在风险因素且出现持续超过两周不明原因声音嘶哑的个体，应考虑恶性肿瘤的可能性。由于对嗓音健康缺乏认识，相当数量的喉癌患者在疾病晚期才就诊。对公众和基层医疗保健提供者进行喉癌教育很重要。我们报告一例81岁男性吸烟者的病例，他因进行性声音嘶哑6个月前来就诊。他最初在两家基层医疗中心和一家二级医疗中心接受治疗，这些中心均未考虑喉癌诊断。我们中心的仔细评估最终确诊为T3N0M0声门癌。我们将讨论男性吸烟者出现进行性声音嘶哑这一警示三联征，以帮助基层医疗医生梳理思路，识别声音嘶哑患者的危险信号。
