Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital

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:          ...

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Main Authors: Mark Anthony Gomez, Romeo Villarta, Ruzanne Caro, Criston Van Manasan, Jose Carnate
Format: Article
Language:English
Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2019-12-01
Series:Philippine Journal of Otolaryngology Head and Neck Surgery
Subjects:
Online Access:https://pjohns.pso-hns.org/index.php/pjohns/article/view/1113
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author Mark Anthony Gomez
Romeo Villarta
Ruzanne Caro
Criston Van Manasan
Jose Carnate
author_facet Mark Anthony Gomez
Romeo Villarta
Ruzanne Caro
Criston Van Manasan
Jose Carnate
author_sort Mark Anthony Gomez
collection DOAJ
description 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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spelling doaj.art-05663f2f6468457aa0721232f0106f472022-12-22T02:38:15ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012019-12-01341Nasopharyngeal Tuberculosis in a Philippine Tertiary General HospitalMark Anthony Gomez0Romeo Villarta1Ruzanne Caro2Criston Van Manasan3Jose Carnate4Department of Otorhinolaryngology Philippine General Hospital University of the Philippines ManilaDepartment of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila; Department of Epidemiology and Biostatistics College of Public Health University of the Philippines ManilaDepartment of Otorhinolaryngology College of Medicine – Philippine General Hospital University of the Philippines ManilaDepartment of Laboratories Philippine General Hospital University of the Philippines ManilaDepartment of Pathology College of Medicine University of the Philippines ManilaObjective:  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; lymphomahttps://pjohns.pso-hns.org/index.php/pjohns/article/view/1113nasopharyngeal tuberculosisprevalencecensusestertiary care centersPhilippinescarcinoma
spellingShingle Mark Anthony Gomez
Romeo Villarta
Ruzanne Caro
Criston Van Manasan
Jose Carnate
Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital
Philippine Journal of Otolaryngology Head and Neck Surgery
nasopharyngeal tuberculosis
prevalence
censuses
tertiary care centers
Philippines
carcinoma
title Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital
title_full Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital
title_fullStr Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital
title_full_unstemmed Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital
title_short Nasopharyngeal Tuberculosis in a Philippine Tertiary General Hospital
title_sort nasopharyngeal tuberculosis in a philippine tertiary general hospital
topic nasopharyngeal tuberculosis
prevalence
censuses
tertiary care centers
Philippines
carcinoma
url https://pjohns.pso-hns.org/index.php/pjohns/article/view/1113
work_keys_str_mv AT markanthonygomez nasopharyngealtuberculosisinaphilippinetertiarygeneralhospital
AT romeovillarta nasopharyngealtuberculosisinaphilippinetertiarygeneralhospital
AT ruzannecaro nasopharyngealtuberculosisinaphilippinetertiarygeneralhospital
AT cristonvanmanasan nasopharyngealtuberculosisinaphilippinetertiarygeneralhospital
AT josecarnate nasopharyngealtuberculosisinaphilippinetertiarygeneralhospital