PMC9166903_01
Gross examination of the palatine and pharyngeal tonsils, all with an unusually grey-yellowish, elastic, almost cartilaginous aspect.
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The surgical specimen (Figure 1) consisted of both palatine tonsils and the pharyngeal tonsil, all with an unusually grey-yellowish, elastic, almost cartilaginous gross aspect, which led us to ask for histopathological examination.
PMC9166903_02
Clinical examination of the tongue revealing a nodular, ulcerated, infiltrating mass on the left side, extending inferiorly towards the ventral surface.
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A 64-year-old female patient with a history of cervical cancer was admitted in our clinic for odynophagia, anorexia and weight loss, all due to a nodular, ulcerated, infiltrating mass on the left side margin of the tongue, extending inferiorly towards the ventral surface (Figure 2).
Microscopic examination revealing numerous caseous and non-caseous epithelioid and giant cell granulomas. (hematoxylin-eosin, 40x).
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Histopathological examination of both lingual biopsy and jejune resection specimen showed numerous caseous and non-caseous epithelioid and giant cells granulomas (Figure 3).
Ziehl-Neelsen special stain revealing acid-fast bacilli (pink rods on a blue background).
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Acid-fast bacilli were identified using Ziehl-Neelsen stain (Figure 4), and the diagnosis of lingual and jejunal tuberculosis was established.
PMC9166903_03
Clinical examination of a round, mobile, submandibular tumor.
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A 71-year-old female patient was referred to our clinic from a Psychiatric Hospital (where she was institutionalized for several years) for the diagnosis and treatment of a round, mobile, elastic, submandibular tumor of around 5 cm, which has been slowly growing in the last year (Figure 5).
Microscopic examination revealing epithelioid granulomas of various shapes and sizes, necrosis, giant multinucleated cells (Langhans giant cells).
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The histopathological examination revealed lymph nodes with modified architecture, with frequent granulomas of various shapes and sizes, necrosis, giant multinuclear cells, areas of ulceration and granulation (Figure 6).
PMC9166903_04
Defective wound healing.
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The post-operative course was in this case rather laborious due to the precarious healing of the wound (Figure 7) which had to be re-stitched several times until it completely healed.