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[Tuberculosis of the cavum]

M A López González1, F J Barrón Reyes, R Martínez Garrido

  • 1Servicio de ORL, Hospital Universitario Virgen del Rocío, Sevilla.

Acta Otorrinolaringologica Espanola
|August 26, 1998
PubMed
Summary

Tuberculosis was incidentally diagnosed in an elderly woman with a history of mandibular ameloblastoma. Biopsy of a cavum lesion and lymph nodes confirmed the diagnosis, highlighting its importance in evaluating regional lesions.

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Area of Science:

  • Otolaryngology
  • Oncology
  • Infectious Diseases

Background:

  • A patient with a history of mandibular ameloblastoma underwent a hemimandibulectomy 24 years prior.
  • Follow-up revealed a new lesion in the cavum and enlarged cervical lymph nodes.

Observation:

  • An excrescent, ulcerative lesion was noted in the posterior cavum, near Rosenmüller's fossa.
  • Enlarged, firm cervical lymph nodes were palpable, more prominent on the right side.

Findings:

  • Biopsy of the cavum lesion and needle biopsy of lymph nodes confirmed tuberculosis.
  • The diagnosis of tuberculosis in this context is often incidental.

Implications:

  • Tuberculosis should be considered in the differential diagnosis of cavum lesions and cervical lymphadenopathy.

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  • Biopsy of the cavum is crucial for diagnosing regional lesions, especially with lymph node involvement.