A case of vocal cord gnathostomiasis diagnosed with sectional morphologies in a histopathological specimen from a Chinese woman living in Korea.

This study aimed to describe a rare case of gnathostomiasis in the vocal cord. A 54-year-old Chinese woman living in Korea visited with a chief complaint of voice change at the outpatient department of otorhinolaryngology in Hallym Sacred Heart Hospital, Hallym University on August 2, 2021. She had eaten raw conger a few weeks before the voice change developed, but her medical history and physical examinations demonstrated neither gastrointestinal symptoms nor other health problems. A round and red cystic lesion, recognized in the anterior part of the right vocal cord, was removed using forceps and scissors through laryngeal microsurgery. The histopathological specimen of the cyst revealed 3 cross-sections of a nematode larva in the lumen of the cyst wall composed of inflammatory cells and fibrotic tissues. They differ in diameter, from 190 µm to 235 µm. They showed characteristic cuticular layers with tegumental spines, somatic muscle layers, and gastrointestinal tracts such as the esophagus and intestine. Notably, intestinal sections consisted of 27-28 lining cells containing 0-4 nuclei per cell. We tentatively identified the nematode larva recovered from the vocal cord cystic lesion as the third-stage larva of Gnathostoma, probably G. nipponicum or G. hispidum, based on the sectional morphologies.

Laryngeal sarcocystosis accompanying laryngeal squamous cell carcinoma: case report and literature review.

Laryngeal sarcocystosis is an uncommon zoonotic coccidian protozoal infestation of human beings. The authors reviewed the pathology of 1,063 laryngeal biopsies over the past 10 years (2000 to 2009). Only one case of laryngeal sarcocystosis accompanying laryngeal squamous cell carcinoma was identified. The overall prevalence of laryngeal sarcocystosis was 0.094%. The case was a 66-year-old man who presented with voice hoarseness for six months. Physical examination and computed tomography revealed an ulcerative exophytic mass on the right true vocal cord, suggestive of laryngeal carcinoma. He underwent a right frontolateral partial laryngectomy. Histopathology showed a nonkeratinizing squamous cell carcinoma with Sarcocystis spp in the vocalis muscle. He was followed up and enrolled in speech therapy. The authors briefly review the clinicopathologic features and pathogenesis of muscular sarcocystosis and concurrent laryngeal sarcocystosis and squamous cell carcinoma.

Vitamin A-storing stellate cells in the human vocal fold.

OBJECTIVE: Previously, we discovered cells with a star-like appearance that constantly synthesized extracellular matrices in the human adult vocal fold mucosa. These cells had no nomenclature and were thus designated "vocal fold stellate cells (VFSC)". The aim of the present study was to detect vitamin A (retinol) in the VFSC. MATERIAL AND METHODS: Five normal human adult vocal folds obtained from surgical specimens were used. Light microscopy using the gold chloride method and fluorescence microscopy were used to detect vitamin A. RESULTS: VFSC distributed in the maculae flavae of human adult vocal folds possessed lipid droplets and stored vitamin A. CONCLUSION: It is generally accepted that vitamin A, an essential liposoluble vitamin, is used as a morphogen that controls the differentiation and morphogenesis of cells. In our previous investigation and in this study VFSC were found to differ morphologically from conventional fibroblasts. VFSC represent morphologically a new category of cells in the human vocal fold.

Tails of the unexpectorated: experiences with leech infestation in childhood.

Two potentially lethal cases of leech infestation of the upper airways in childhood are described and a safe and effective way of dealing with the problem is suggested.