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DOI: 10.48087/BJMS.2026.130214
Authors: Salah Eddine DERADJ, Samir BENYAHIA.
Affiliations: 1- Université Ferhat Abbas, faculté de médecine, Sétif, Algérie. 2- Université Youcef Al Khatib, faculté de médecine, Alger, Algérie.
Keywords: laryngeal tuberculosis; laryngeal carcinoma; histopathology; anti-tuberculosis therapy.
Abstract
Laryngeal tuberculosis is a rare entity, accounting for less than 1% of tuberculosis localizations. Its pseudo-tumoral forms represent a major diagnostic challenge, particularly in elderly patients or heavy smokers, in whom laryngeal carcinoma is often suspected first. We report the case of an 81-year-old heavy smoker presenting with bilateral exophytic vocal cord lesions mimicking squamous cell carcinoma. Histological examination revealed caseating granulomatous inflammation. The clinical outcome was favorable under prolonged anti-tuberculosis therapy. This case highlights the importance of considering tuberculosis in the differential diagnosis of chronic laryngeal lesions in endemic areas.