Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital

  • Mark Anthony T. Gomez Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila
  • Romeo L. Villarta, Jr. Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila; Department of Epidemiology and Biostatistics College of Public Health University of the Philippines Manila
  • Ruzanne M. Caro Department of Otorhinolaryngology College of Medicine – Philippine General Hospital University of the Philippines Manila
  • Criston Van C. Manasan Department of Laboratories Philippine General Hospital University of the Philippines Manila
  • Jose M. Carnate, Jr. Department of Pathology College of Medicine University of the Philippines Manila
Keywords: nasopharyngeal tuberculosis, prevalence, censuses, tertiary care centers, Philippines, carcinoma, nasopharynx, biopsy, tuberculosis, lymphoma

Abstract

Objective:  This study aimed to determine the prevalence of nasopharyngeal tuberculosis among patients who were initially assessed to have a nasopharyngeal mass and subsequently underwent biopsy in a Philippine Tertiary General Hospital from 2013 to 2015.

 

Methods:

Design:           Case Series

Setting:           Tertiary National University Hospital

Participants: All patients with nasopharyngeal mass identified from January 2013 to December 2015 from a hospital wide census who underwent biopsy were investigated using chart and histopathology review. The prevalence of tuberculosis, malignancies and other findings were determined.

 

Results:  Among 285 nasopharyngeal biopsies done between 2013 and 2015, 33 (11.6%) were histologically compatible with nasopharyngeal tuberculosis, 177 (62.1%) were different types of nasopharyngeal carcinoma, 59 (20.7%) were chronic inflammation, 4 (1.4%) were lymphoma, 5 (1.8%) were normal, and 7 (2.5 %) had diagnoses other than those above.

 

Conclusion: This study suggests a relatively high prevalence rate (11.6%) of nasopharyngeal tuberculosis in patients who have a nasopharyngeal mass. This indicates that nasopharyngeal tuberculosis should always be a differential when confronted with a mass in the nasopharynx especially in tuberculosis endemic areas.

 

Keywords: nasopharyngeal tuberculosis; prevalence; censuses; tertiary care centers; Philippines; carcinoma; nasopharynx; biopsy; tuberculosis; lymphoma

 

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Published
2019-12-02
How to Cite
1.
Gomez MA, Villarta R, Caro R, Manasan CV, Carnate J. Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital . Philipp J Otolaryngol Head Neck Surg [Internet]. 2019Dec.2 [cited 2019Dec.10];34(2):7-10. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/1117

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