Inflammatory myoblastic tumour (IMT) is a rare benign neoplasm that can affect any part of the body including the head and neck. When it is affecting the head and neck region, the clinical presentations can mimic othe...Inflammatory myoblastic tumour (IMT) is a rare benign neoplasm that can affect any part of the body including the head and neck. When it is affecting the head and neck region, the clinical presentations can mimic other common head and neck pathology. If the tumour involves the upper airway it can cause stridor and hoarseness. Other presenting features are neck swelling and dysphagia. This tumour may mimic other chronic granulomatous diseases. This case report described a rare IMT arising from the vocal cord and presents with hoarseness and stridor for six months duration. The patient has no known risk factors. Despite surgical resection, the tumour recurred within six month and further surgical resection was performed, but yet the tumour recurred after one year following second surgery. She was then further treated with mass excision by Endolaryngeal Microsurgery (ELMS) with steroid laryngeal injection. Currently she is still being followed up and remains asymptomatic.展开更多
Tonsillitis is one of the most common presentations to the primary care clinic. Majority of the tonsillitis is viral etiology and occasionally is caused by bacteria such as streptococcal pharyngo-tonsillitis. However,...Tonsillitis is one of the most common presentations to the primary care clinic. Majority of the tonsillitis is viral etiology and occasionally is caused by bacteria such as streptococcal pharyngo-tonsillitis. However, if tonsillitis lasts longer than a week and associated with cervical lymph nodes, other differential diagnoses should be considered. This case report illustrated a patient who presented with fever, sore throat and odynophagia which lasted for one week then developed trismus. Examination revealed a left tonsillar hypertrophy with soft palate swelling and pus aspirated from the tonsil revealed positive smear to Acid-fast Bacilli and he responded to anti-tuberculosis treatment.展开更多
文摘Inflammatory myoblastic tumour (IMT) is a rare benign neoplasm that can affect any part of the body including the head and neck. When it is affecting the head and neck region, the clinical presentations can mimic other common head and neck pathology. If the tumour involves the upper airway it can cause stridor and hoarseness. Other presenting features are neck swelling and dysphagia. This tumour may mimic other chronic granulomatous diseases. This case report described a rare IMT arising from the vocal cord and presents with hoarseness and stridor for six months duration. The patient has no known risk factors. Despite surgical resection, the tumour recurred within six month and further surgical resection was performed, but yet the tumour recurred after one year following second surgery. She was then further treated with mass excision by Endolaryngeal Microsurgery (ELMS) with steroid laryngeal injection. Currently she is still being followed up and remains asymptomatic.
文摘Tonsillitis is one of the most common presentations to the primary care clinic. Majority of the tonsillitis is viral etiology and occasionally is caused by bacteria such as streptococcal pharyngo-tonsillitis. However, if tonsillitis lasts longer than a week and associated with cervical lymph nodes, other differential diagnoses should be considered. This case report illustrated a patient who presented with fever, sore throat and odynophagia which lasted for one week then developed trismus. Examination revealed a left tonsillar hypertrophy with soft palate swelling and pus aspirated from the tonsil revealed positive smear to Acid-fast Bacilli and he responded to anti-tuberculosis treatment.
