Difference between revisions of "Vocal cord nodule"
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| Width = | | Width = | ||
| Caption = Laryngeal nodule | | Caption = Laryngeal nodule | ||
| Synonyms = singer's nodule | | Synonyms = singer's nodule, vocal fold nodule | ||
| Micro = | | Micro = early: edema, fibroblasts proliferation; late: subepithelial hyaline / stromal hyaline, blood vessels - dilated | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = [[amyloidosis]], [[granular cell tumour]], spindle cell [[squamous cell carcinoma of the head and neck|squamous cell carcinoma]], myxoma, ductal-type cyst | | LMDDx = [[amyloidosis]], [[granular cell tumour]], spindle cell [[squamous cell carcinoma of the head and neck|squamous cell carcinoma]], myxoma, ductal-type cyst | ||
| Stains = | | Stains = [[congo red stain|congo red]] -ve | ||
| IHC = | | IHC = | ||
| EM = | | EM = | ||
| Line 19: | Line 19: | ||
| Syndromes = | | Syndromes = | ||
| Clinicalhx = | | Clinicalhx = | ||
| Signs = | | Signs = +/-hoarseness | ||
| Symptoms = | | Symptoms = | ||
| Prevalence = common | | Prevalence = common | ||
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| Tx = | | Tx = | ||
}} | }} | ||
'''Vocal cord nodule''', also '''vocal cord polyp''' and '''singer's nodule''', is a benign pathology of the [[head and neck pathology|head and neck]]. | '''Vocal cord nodule''', also '''vocal cord polyp''', '''vocal fold nodule''' and '''singer's nodule''', is a benign pathology of the [[head and neck pathology|head and neck]]. | ||
==General== | ==General== | ||
Revision as of 00:54, 26 February 2014
| Vocal cord nodule | |
|---|---|
| Diagnosis in short | |
.jpg) Laryngeal nodule | |
|
| |
| Synonyms | singer's nodule, vocal fold nodule |
|
| |
| LM | early: edema, fibroblasts proliferation; late: subepithelial hyaline / stromal hyaline, blood vessels - dilated |
| LM DDx | amyloidosis, granular cell tumour, spindle cell squamous cell carcinoma, myxoma, ductal-type cyst |
| Stains | congo red -ve |
| Site | vocal cord - see head and neck pathology |
|
| |
| Signs | +/-hoarseness |
| Prevalence | common |
| Prognosis | benign |
Vocal cord nodule, also vocal cord polyp, vocal fold nodule and singer's nodule, is a benign pathology of the head and neck.
General
- Benign.
- Etiology: overuse, mechanical trauma (?).
Clinical:
- Hoarseness.[1]
Microscopic
Features:[2]
- Early:
- Edema.
- Fibroblasts proliferation.
- Late:
- Subepithelial hyaline / stromal hyaline.
- Blood vessels - dilated.
Notes:
- No inflammation.
DDx:[3]
- Amyloidosis.
- Granular cell tumour.
- Spindle cell squamous cell carcinoma.[4]
- Myxoma.
- Ductal-type cyst.
- Rheumatoid nodule.[5]
Images
Laryngeal nodule - low mag. (WC)
Laryngeal nodule (WC)
.jpg)
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VOCAL CORD LESION, EXCISION: - STRATIFIED SQUAMOUS EPITHELIUM WITH PARAKERATOSIS AND STROMAL EDEMA, CONSISTENT WITH BENIGN VOCAL CORD NODULE OR POLYP. - NEGATIVE FOR MALIGNANCY.
VOCAL CORD LESION, EXCISION: - STRATIFIED SQUAMOUS EPITHELIUM WITH PARAKERATOSIS AND SUBEPITHELIAL HYALINE MATERIAL, CONSISTENT WITH WITH VOCAL CORD NODULE OR POLYP. - NEGATIVE FOR MALIGNANCY.
See also
References
- ↑ Müller, R. (Nov 1995). "[Hoarseness].". Ther Umsch 52 (11): 759-62. PMID 7502253.
- ↑ URL: http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675%2806%2970310-2. Accessed on: 4 February 2011.
- ↑ Thompson, Lester D. R. (2006). Head and Neck Pathology: A Volume in Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 9. ISBN 978-0443069604.
- ↑ Soylu, L.; Aydogan, B.; Tunali, N.; Ozsahinoglu, C. (Aug 1999). "Report of a rare case of vocal fold carcinoma that was obscured by a prominent vocal fold polyp.". Ear Nose Throat J 78 (8): 601-2. PMID 10485155.
- ↑ Abdou, AG.; Asaad, NY. (Oct 2012). "Rheumatoid nodule of the vocal cord.". Int J Surg Pathol 20 (5): 481-2. doi:10.1177/1066896912448426. PMID 22674917.