Laporan Kasus: Hiperplasia Pseudokarsinomatus Hipofaring oleh karena Sporotrikosis
DOI:
https://doi.org/10.21776/ub.jkb.2016.029.01.18Keywords:
Hiperplasia pseudokarsinomatus, hipofaring, sporotrikosisAbstract
Hiperplasia pseudokarsinomatus merupakan proliferasi epitel reaktif jinak yang secara histopatologi mirip karsinoma sel skuamosa. Salah satu penyebabnya adalah infeksi jamur. Kami melaporkan 1 kasus hiperplasia pseudokarsinomatus hipofaring oleh karena sporotrikosis. Wanita 57 tahun mengeluh tenggorok terasa mengganjal disertai nyeri ulu hati dan sensasi pahit/kecut naik ke tenggorok. Pasien menderita refluks laringofaringeal,alergi seafood, dan riwayat Steven Johnson Syndrome. Pada pemeriksaan laringoskopi, tampak massa berdungkul pada hipofaring dengan kesan jinak. Dari hasil pemeriksaan histopatologi tampak infiltrasi epitel menuju dermis (mirip karsinoma sel skuamosa). Dengan pemeriksaan ulang secara patologi anatomi dan mikrobiologi (baku emas) serta komunikasi antara klinisi, ahli patologi, dan mikrobiologi, massa tersebut diidentifikasi sebagai hiperplasia pseudokarsinomatus oleh karena Sporothrix schenckii. Pasien menjalani eksisi massa dan diberikan ketokonazol dan lanzoprazol selama 6 minggu. Saat evaluasi ulang, pasien merasa rasa mengganjal hilang dan tidak ditemukan massa pada hipofaring. Hiperplasia pseudokarsinomatus hipofaring oleh karena sporotrikosis jarang terjadi. Di indonesia, belum ada laporan kasus mengenai hal ini. Kesalahan diagnosis sebagai karsinoma dapat berakibat fatal. Akan tetapi, dengan diagnosis yang lebih teliti dan tatalaksana yang tepat, prognosis pasien sangat baik.
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