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BMC Res Notes ; 7: 898, 2014 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-25494907

RESUMO

BACKGROUND: Voice dysfunction or dysphonia may be associated with several clinical conditions. Among these, laryngeal human papillomavirus (HPV)-induced lesions should be considered as a possible causative factor. We report a case of dysphonia in a patient presenting with an HPV laryngeal lesion. We also discuss the clinical features of the disease, its histopathological findings, and treatment and rigorous follow-up. CASE PRESENTATION: We report a case of laryngeal papilloma in a 29-year-old, Afro-descendant, male patient with dysphonia. He was a non-smoker and was not a drug user. Videolaryngostroboscopy revealed signs suggestive of pharyngolaryngeal reflux. The right vocal fold presented with a papillomatous aspect in the posterior third, which underwent excision. Histopathological examination showed a nodular lesion of the right vocal fold, conclusive of squamous papilloma with absence of malignancy. CONCLUSION: Patients presenting with persistent voice dysfunction or dysphonia should be investigated for possible laryngeal HPV infection. Diagnostic confirmation by HPV genotyping is important for follow-up of potential recurrence.


Assuntos
Carcinoma de Células Escamosas/diagnóstico , Disfonia/diagnóstico , Papiloma/diagnóstico , Infecções por Papillomavirus/diagnóstico , Adulto , Carcinoma de Células Escamosas/complicações , Carcinoma de Células Escamosas/cirurgia , Disfonia/etiologia , Interações Hospedeiro-Patógeno , Papillomavirus Humano 6/genética , Papillomavirus Humano 6/fisiologia , Humanos , Laringoscopia/métodos , Masculino , Papiloma/complicações , Papiloma/cirurgia , Infecções por Papillomavirus/complicações , Infecções por Papillomavirus/virologia , Reação em Cadeia da Polimerase , Gravação em Vídeo , Prega Vocal/patologia , Prega Vocal/cirurgia , Prega Vocal/virologia
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