Альманах клинической медицины. 2015; : 100-108
РЕДКИЕ НЕОПУХОЛЕВЫЕ ЗАБОЛЕВАНИЯ ГЛОТКИ И ГОРТАНИ
https://doi.org/10.18786/2072-0505-2015-43-100-108Аннотация
Некоторые воспалительные системные и несистемные заболевания глотки и гортани клинически могут симулировать течение опухолевого процесса. В этих случаях метод компьютерной томографии обеспечивает быстрое обследование пациентов, существенно добавляя информацию к эндоскопической картине. Представлены 4 клинических наблюдения, объединенных общими аспектами: подозрением на опухолевый процесс и отсутствием типичных компьютерно-томографических симптомов, характерных для опухолевого поражения. IgG4-связанное склерозирующее заболевание, ревматоидный артрит, амилоидоз и актиномикоз являются редкими состояниями, тем не менее они должны быть включены в дифференциальный диагноз. В этой связи знание лучевых особенностей этих редких нозологических форм будет полезно практикующему специалисту.
Список литературы
1. Deshpande V, Gupta R, Sainani N, Sahani DV, Virk R, Ferrone C, Khosroshahi A, Stone JH, Lauwers GY. Subclassification of autoimmune pancreatitis: a histologic classification with clinical significance. Am J Surg Pathol. 2011;35(1):26–35. doi: 10.1097/PAS.0b013e3182027717.
2. Kamisawa T, Takuma K, Anjiki H, Egawa N, Kurata M, Honda G, Tsuruta K. Sclerosing cholangitis associated with autoimmune pancreatitis differs from primary sclerosing cholangitis. World J Gastroenterol. 2009;15(19):2357–60.
3. Stone JH. IgG4-related disease: nomenclature, clinical features, and treatment. Semin Diagn Pathol. 2012;29(4):177–90. doi: 10.1053/j.semdp.2012.08.002.
4. Plaza JA, Garrity JA, Dogan A, Ananthamurthy A, Witzig TE, Salomao DR. Orbital inflammation with IgG4-positive plasma cells: manifestation of IgG4 systemic disease. Arch Ophthalmol. 2011;129(4):421–8. doi: 10.1001/ archophthalmol.2011.16.
5. Stone JH, Khosroshahi A, Hilgenberg A, Spooner A, Isselbacher EM, Stone JR. IgG4-related systemic disease and lymphoplasmacyticaortitis. Arthritis Rheum. 2009;60(10):3139–45. doi: 10.1002/art.24798.
6. Wong DD, Pillai SR, Kumarasinghe MP, McGettigan B, Thin LW, Segarajasingam DS, Hollingsworth PN, Spagnolo DV. IgG4-related sclerosing disease of the small bowel presenting as necrotizing mesenteric arteritis and a solitary jejunal ulcer. Am J Surg Pathol. 2012;36(6):929–34. doi: 10.1097/PAS.0b013e3182495c96.
7. Nishimori I, Kohsaki T, Onishi S, Shuin T, Kohsaki S, Ogawa Y, Matsumoto M, Hiroi M, Hamano H, Kawa S. IgG4-related autoimmune prostatitis: two cases with or without autoimmune pancreatitis. Intern Med. 2007;46(24):1983–9.
8. Cheuk W, Chan AC, Lam WL, Chow SM, Crowley P, Lloydd R, Campbell I, Thorburn M, Chan JK. IgG4-related sclerosing mastitis: description of a new member of the IgG4-related sclerosing diseases. Am J Surg Pathol. 2009;33(7):1058–64. doi: 10.1097/PAS. 0b013e3181998cbe.
9. Cheuk W, Chan JK. IgG4-related sclerosing disease: a critical appraisal of an evolving clinicopathologic entity. Adv Anat Pathol. 2010;17(5):303–32. doi: 10.1097/ PAP.0b013e3181ee63ce.
10. Pickhard A, Smith E, Rottscholl R, Brosch S, Reiter R. Disorders of the larynx and chronic inflammatory diseases. Laryngorhinootologie. 2012;91(12):758–66. doi: 10.1055/s-00321323769.
11. Lawry GV, Finerman ML, Hanafee WN, Mancuso AA, Fan PT, Bluestone R. Laryngeal involvement in rheumatoid arthritis. A clinical, laryngoscopic, and computerized tomographic study. Arthritis Rheum. 1984;27(8):873–82.
12. Voulgari PV, Papazisi D, Bai M, Zagorianakou P, Assimakopoulos D, Drosos AA. Laryngeal involvement in rheumatoid arthritis. Rheumatol Int. 2005;25(5):321–5.
13. Ylitalo R, Heimburger M, Lindestad PA. Vocal fold deposits in autoimmune disease – an unusual cause of hoarseness. Clin Otolaryngol Allied Sci. 2003;28(5):446–50.
14. Kyle RA. Amyloidosis: a convoluted story. Br J Haematol. 2001;114(3):529–38.
15. Sideras K, Gertz MA. Amyloidosis. Adv Clin Chem. 2009;47:1–44.
16. Gilad R, Milillo P, Som PM. Severe diffuse systemic amyloidosis with involvement of the pharynx, larynx, and trachea: CT and MR findings. AJNR Am J Neuroradiol. 2007;28(8): 1557–8.
17. Siddachari RC, Chaukar DA, Pramesh CS, Naresh KN, de Souza CE, Dcruz AK. Laryngeal amyloidosis. J Otolaryngol. 2005;34(1):60–3.
18. Ergas D, Abramowitz Y, Lahav Y, Halperin D, Sthoeger ZM. Exertion dyspnea and stridor: an unusual presentation of localized laryngeal amyloidosis. Isr Med Assoc J. 2006;8(1):73–4.
19. Morawska A, Wiatr M, Składzień J. Ways of treatment of non-malignant laryngeal tumors in older patients – laryngeal amyloidosis. Otolaryngol Pol. 2008;62(2):141–4.
20. Belmont MJ, Behar PM, Wax MK. Atypical presentations of actinomycosis. Head Neck. 1999;21(3):264–8.
21. Allen HA 3rd, Scatarige JC, Kim MH. Actinomycosis: CT findings in six patients. AJR Am J Roentgenol. 1987;149(6):1255–8.
22. Silverman PM, Farmer JC, Korobkin M, Wolfe J. CT diagnosis of actinomycosis of the neck. J Comput Assist Tomogr. 1984;8(4):793–4.
23. Nagler R, Peled M, Laufer D. Cervicofacialactinomycosis: a diagnostic challenge. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(6):652–6.
24. Ermis I, Topalan M, Aydin A, Erer M. Actinomycosis of the frontal and parotid regions. Ann Plast Surg. 2001;46(1):55–8.
25. Nagler RM, Ben-Arieh Y, Laufer D. Case report of regional alveolar bone actinomycosis: a juvenile periodontitis-like lesion. J Periodontol. 2000;71(5):825–9.
26. Weber AL, Siciliano A. CT and MR imaging evaluation of neck infections with clinical correlations. Radiol Clin North Am. 2000;38(5):941– 68, ix.
27. Ha HK, Lee HJ, Kim H, Ro HJ, Park YH, Cha SJ, Shinn KS. Abdominal actinomycosis: CT findings in 10 patients. AJR Am J Roentgenol. 1993;161(4):791–4.
28. Kwong JS, Muller NL, Godwin JD, Aberle D, Grymaloski MR. Thoracic actinomycosis: CT findings in eight patients. Radiology. 1992;183(1):189–92.
29. Von Lichtenberg F. Infectious disease. In: Contran RS, Kumar V, Robbins SL, editors. Robbins pathologic basis of disease. 4th ed. Philadelphia: Saunders; 1989. p. 383–4.
Almanac of Clinical Medicine. 2015; : 100-108
RARE NON-TUMOR DISEASES OF THE PHARYNX AND LARYNX
https://doi.org/10.18786/2072-0505-2015-43-100-108Abstract
A number of inflammatory systemic and non-systemic pharyngel and laryngeal diseases may clinically imitate a tumor. In these cases, computed tomography provides rapid assessment and significant additional information to that obtained from endoscopy. We present 4 clinical observations with certain common features. These are a suspicion of a neoplasm and absence of typical computed tomography symptoms characteristic of tumor lesions. IgG4-related systemic disease, rheumatoid arthritis, amyloidosis, and actinomycosis are rare disorders, however, they should be considered in the differential diagnosis. In this context, the knowledge of the radiation diagnostic characteristics of these rare nosologies will be useful for a practitioner.
References
1. Deshpande V, Gupta R, Sainani N, Sahani DV, Virk R, Ferrone C, Khosroshahi A, Stone JH, Lauwers GY. Subclassification of autoimmune pancreatitis: a histologic classification with clinical significance. Am J Surg Pathol. 2011;35(1):26–35. doi: 10.1097/PAS.0b013e3182027717.
2. Kamisawa T, Takuma K, Anjiki H, Egawa N, Kurata M, Honda G, Tsuruta K. Sclerosing cholangitis associated with autoimmune pancreatitis differs from primary sclerosing cholangitis. World J Gastroenterol. 2009;15(19):2357–60.
3. Stone JH. IgG4-related disease: nomenclature, clinical features, and treatment. Semin Diagn Pathol. 2012;29(4):177–90. doi: 10.1053/j.semdp.2012.08.002.
4. Plaza JA, Garrity JA, Dogan A, Ananthamurthy A, Witzig TE, Salomao DR. Orbital inflammation with IgG4-positive plasma cells: manifestation of IgG4 systemic disease. Arch Ophthalmol. 2011;129(4):421–8. doi: 10.1001/ archophthalmol.2011.16.
5. Stone JH, Khosroshahi A, Hilgenberg A, Spooner A, Isselbacher EM, Stone JR. IgG4-related systemic disease and lymphoplasmacyticaortitis. Arthritis Rheum. 2009;60(10):3139–45. doi: 10.1002/art.24798.
6. Wong DD, Pillai SR, Kumarasinghe MP, McGettigan B, Thin LW, Segarajasingam DS, Hollingsworth PN, Spagnolo DV. IgG4-related sclerosing disease of the small bowel presenting as necrotizing mesenteric arteritis and a solitary jejunal ulcer. Am J Surg Pathol. 2012;36(6):929–34. doi: 10.1097/PAS.0b013e3182495c96.
7. Nishimori I, Kohsaki T, Onishi S, Shuin T, Kohsaki S, Ogawa Y, Matsumoto M, Hiroi M, Hamano H, Kawa S. IgG4-related autoimmune prostatitis: two cases with or without autoimmune pancreatitis. Intern Med. 2007;46(24):1983–9.
8. Cheuk W, Chan AC, Lam WL, Chow SM, Crowley P, Lloydd R, Campbell I, Thorburn M, Chan JK. IgG4-related sclerosing mastitis: description of a new member of the IgG4-related sclerosing diseases. Am J Surg Pathol. 2009;33(7):1058–64. doi: 10.1097/PAS. 0b013e3181998cbe.
9. Cheuk W, Chan JK. IgG4-related sclerosing disease: a critical appraisal of an evolving clinicopathologic entity. Adv Anat Pathol. 2010;17(5):303–32. doi: 10.1097/ PAP.0b013e3181ee63ce.
10. Pickhard A, Smith E, Rottscholl R, Brosch S, Reiter R. Disorders of the larynx and chronic inflammatory diseases. Laryngorhinootologie. 2012;91(12):758–66. doi: 10.1055/s-00321323769.
11. Lawry GV, Finerman ML, Hanafee WN, Mancuso AA, Fan PT, Bluestone R. Laryngeal involvement in rheumatoid arthritis. A clinical, laryngoscopic, and computerized tomographic study. Arthritis Rheum. 1984;27(8):873–82.
12. Voulgari PV, Papazisi D, Bai M, Zagorianakou P, Assimakopoulos D, Drosos AA. Laryngeal involvement in rheumatoid arthritis. Rheumatol Int. 2005;25(5):321–5.
13. Ylitalo R, Heimburger M, Lindestad PA. Vocal fold deposits in autoimmune disease – an unusual cause of hoarseness. Clin Otolaryngol Allied Sci. 2003;28(5):446–50.
14. Kyle RA. Amyloidosis: a convoluted story. Br J Haematol. 2001;114(3):529–38.
15. Sideras K, Gertz MA. Amyloidosis. Adv Clin Chem. 2009;47:1–44.
16. Gilad R, Milillo P, Som PM. Severe diffuse systemic amyloidosis with involvement of the pharynx, larynx, and trachea: CT and MR findings. AJNR Am J Neuroradiol. 2007;28(8): 1557–8.
17. Siddachari RC, Chaukar DA, Pramesh CS, Naresh KN, de Souza CE, Dcruz AK. Laryngeal amyloidosis. J Otolaryngol. 2005;34(1):60–3.
18. Ergas D, Abramowitz Y, Lahav Y, Halperin D, Sthoeger ZM. Exertion dyspnea and stridor: an unusual presentation of localized laryngeal amyloidosis. Isr Med Assoc J. 2006;8(1):73–4.
19. Morawska A, Wiatr M, Składzień J. Ways of treatment of non-malignant laryngeal tumors in older patients – laryngeal amyloidosis. Otolaryngol Pol. 2008;62(2):141–4.
20. Belmont MJ, Behar PM, Wax MK. Atypical presentations of actinomycosis. Head Neck. 1999;21(3):264–8.
21. Allen HA 3rd, Scatarige JC, Kim MH. Actinomycosis: CT findings in six patients. AJR Am J Roentgenol. 1987;149(6):1255–8.
22. Silverman PM, Farmer JC, Korobkin M, Wolfe J. CT diagnosis of actinomycosis of the neck. J Comput Assist Tomogr. 1984;8(4):793–4.
23. Nagler R, Peled M, Laufer D. Cervicofacialactinomycosis: a diagnostic challenge. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(6):652–6.
24. Ermis I, Topalan M, Aydin A, Erer M. Actinomycosis of the frontal and parotid regions. Ann Plast Surg. 2001;46(1):55–8.
25. Nagler RM, Ben-Arieh Y, Laufer D. Case report of regional alveolar bone actinomycosis: a juvenile periodontitis-like lesion. J Periodontol. 2000;71(5):825–9.
26. Weber AL, Siciliano A. CT and MR imaging evaluation of neck infections with clinical correlations. Radiol Clin North Am. 2000;38(5):941– 68, ix.
27. Ha HK, Lee HJ, Kim H, Ro HJ, Park YH, Cha SJ, Shinn KS. Abdominal actinomycosis: CT findings in 10 patients. AJR Am J Roentgenol. 1993;161(4):791–4.
28. Kwong JS, Muller NL, Godwin JD, Aberle D, Grymaloski MR. Thoracic actinomycosis: CT findings in eight patients. Radiology. 1992;183(1):189–92.
29. Von Lichtenberg F. Infectious disease. In: Contran RS, Kumar V, Robbins SL, editors. Robbins pathologic basis of disease. 4th ed. Philadelphia: Saunders; 1989. p. 383–4.
