Samal Dillip-Kumar, Nayak Anindya, Adya Amit-Kumar
Deparment of ENT & Head and Neck Surgery, All India Institute of Medical Scieneces, Bhubaneswar, India.
Deparment of Pathology & Lab Medicine, AIIMS, Bhubaneswar, India.
Iran J Otorhinolaryngol. 2022 Mar;34(121):127-130. doi: 10.22038/IJORL.2021.58575.3024.
Benign lymphoid hyperplasia uncommonly involves the larynx. Involvement of glottis and subglottis is even rare, considering sparse lymphatic supply compared to supraglottis.
A young female presented to emergency with worsening breathing difficulty. After securing the airway, she had found to have circumferential glottis and subglottic mucosa covered firm swelling. Histopathological evaluation of the swelling showed it to be benign lymphoid hyperplasia. Coblation assisted excision of the lesion was done, and the patient became asymptomatic without any recurrence.
Idiopathic lymphoid hyperplasia is a very rare entity to present as glottis and subglottic lesions. Probably, it's the first case to be reported in the literature as laryngeal involvement sparing the supraglottis.
良性淋巴组织增生很少累及喉部。考虑到与声门上区相比声门和声门下区的淋巴供应稀少,声门和声门下区受累更为罕见。
一名年轻女性因呼吸急促加重前来急诊。气道安全后,发现其声门和声门下黏膜周围有坚实的肿胀。对肿胀进行组织病理学评估显示为良性淋巴组织增生。采用等离子消融辅助切除病变,患者无症状且无复发。
特发性淋巴组织增生作为声门和声门下病变是一种非常罕见的情况。这可能是文献中首例报道的仅累及喉部而未累及声门上区的病例。