Hoarseness as the Initial Symptom of Adult T Cell Leukemia:Report of a Case
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概要
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A 63-year-old man developed hoarseness early in August, 1992. He was referred to the Kurume University Hospital on August 8 for a mass of the vocal fold. Videostroboscopy of the larynx revealed a whitish mass on the right menbranous vocal fold which did not present with any vibratory movements and mucosal wave. A glottic carcinoma was suspected. The patient was hospitalized on August 28. Shortly after the admission he developed exanthema on the extremities and laboratory examinations revealed the existence of abnormal leukocytes, and anti-ATLA antibody, leading us to the diagnosis of adult T cell leukemia (ATL). A biopsy of the vocal fold mass showed infiltration of leukemia cells into the vocal fold. The patient was treated with chemotherapy consisting of Vincristine and Adriamysin in the Hematology Department and the mass of the vocal fold disappeared following chemotherapy. This case indicates that T cell leukemia should be kept in mind in differential diagnosis for laryngeal carcinoma.
- The Japan Laryngological Associationの論文
The Japan Laryngological Association | 論文
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