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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 15: | Line 15: | ||
| Gross = | | Gross = | ||
| Grossing = | | Grossing = | ||
| Site = vocal cord - see ''[[head and neck pathology]]'' | | Site = [[vocal cord]] - also see ''[[head and neck pathology]]'' | ||
| Assdx = | | Assdx = | ||
| Syndromes = | | Syndromes = | ||
| Clinicalhx = | | Clinicalhx = | ||
| Signs = | | Signs = +/-hoarseness | ||
| Symptoms = | | Symptoms = | ||
| Prevalence = common | | Prevalence = common | ||
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| Rads = | | Rads = | ||
| Endoscopy = | | Endoscopy = | ||
| Prognosis = | | Prognosis = benign | ||
| Other = | | Other = | ||
| ClinDDx = | | ClinDDx = | ||
| 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== | ||
*Benign. | *Benign. | ||
*Etiology: overuse, "phonatory trauma"<ref name=pmid19730264>{{Cite journal | last1 = Karkos | first1 = PD. | last2 = McCormick | first2 = M. | title = The etiology of vocal fold nodules in adults. | journal = Curr Opin Otolaryngol Head Neck Surg | volume = 17 | issue = 6 | pages = 420-3 | month = Dec | year = 2009 | doi = 10.1097/MOO.0b013e328331a7f8 | PMID = 19730264 }}</ref> (yelling). | |||
*Etiology: overuse, | |||
Clinical: | Clinical: | ||
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==Sign out== | ==Sign out== | ||
<pre> | |||
Left Vocal Cord Polyp, Excision: | |||
- Stratified squamous epithelium with compact hyperkeratosis and stromal | |||
edema, consistent with benign vocal cord nodule or polyp. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
===Block letters=== | |||
<pre> | <pre> | ||
VOCAL CORD LESION, EXCISION: | VOCAL CORD LESION, EXCISION: | ||