Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 1449    

   Table of Contents      
CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 103-104

Respiratory papillomatosis - An unusual cause of hoarseness!


Department of Otorhinolaryngology & Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi 110 029, India

Date of Submission19-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Hitesh Verma
Department of Otorhinolaryngology & Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi 110 029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2169_19

Rights and Permissions

How to cite this article:
Sakthivel P, Verma H. Respiratory papillomatosis - An unusual cause of hoarseness!. Indian J Med Res 2020;152, Suppl S1:103-4

How to cite this URL:
Sakthivel P, Verma H. Respiratory papillomatosis - An unusual cause of hoarseness!. Indian J Med Res [serial online] 2020 [cited 2021 Sep 27];152, Suppl S1:103-4. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/103/316759

Patient's consent obtained to publish clinical information and images.


A 27 yr old female presented to department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, India, in September 2019, with progressive hoarseness and occasional difficulty in breathing for one year duration. On physical examination, there was a large pedunculated exophytic papilloma in the right true vocal cord moving with respiration and partially obstructing the airway [Figure 1]. The patient underwent laser microsurgery and complete excision of the papilloma [Figure 2]. Histopathology revealed multiple finger-like projections with hyperkeratotic stratified squamous epithelium and fibrovascular core without any dysplasia suggestive of squamous papillomas [Figure 3] and human papilloma virus type 6 and 11 was detected on the polymerase chain reaction assay. Respiratory papillomas are benign neoplasms caused by human papilloma virus (type 6 and 11) and most commonly involves the larynx. At three month follow up, the patient is asymptomatic and had no recurrence. Surgical debulking remains the mainstay of treatment as recurrences are not uncommon.
Figure 1: Endoscopic image showing the classical appearance of pedunculated papilloma attached to the right true vocal cord.

Click here to view
Figure 2: Post-excision of papilloma; arrow indicating the attachment site (red arrow).

Click here to view
Figure 3: Histopathology showing multiple finger-like projections with hyperkeratotic stratified squamous epithelium and fibrovascular core without any dysplasia suggestive of squamous papillomas (H and E, ×400).

Click here to view


Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    Article Figures

 Article Access Statistics
    Viewed210    
    Printed0    
    Emailed0    
    PDF Downloaded42    
    Comments [Add]    

Recommend this journal