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Narrow band imaging of vocal cord leukoplakia flexible transnasal videolaryngoscopy

last modified on: Tue, 02/19/2019 - 17:10

Narrow band imaging of vocal cord leukoplakia

return to: Laryngeal leukoplakia white plaques on vocal cords

see also: Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis

Pathology showed: Focal mild dysplasia at anterolateral margin with associated acanthosis, hyperkeratosis, and acute and chronic inflammation.

                                 Biopsy of irregular GE junction showed Barrett's metaplasia without dysplasia.

 

Click on image to enlarge; advance with cursor over right mid border:

Preoperative Exam in clinic with transnasal high definition videostroboscopy with narrow band imaging

 
High definition standard light
High definition narrow band imaging
High definition with narrow band imaging (NBI)
     
High definition standard light
     
 

Intraoperative resection left vocal fold leukoplakia

       
 
       
 

 

Histology of left vocal cord resection

This mucosa shows budding along the mucosa/submucosal junction with mild cytologic atypia and nuclear hyperchromatism confined to the basal third warranting a diagnosis of mild dysplasia.
In contrast to the prior photomicrograph, this portion of the mucosa shows a densely keratotic surface without significant cytologic atypia and a regular mucosal/submucosal junction.