Pathology diagnosis of an atypical thyroid cartilage lesion
| Autor: | Michel Sapanet, Alexia Delbreil, A. Gambier, P. Saint-Martin, M. Taris, T. Lefrancq |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Autopsy Context (language use) Wounds Penetrating Violence 01 natural sciences Pathology and Forensic Medicine Lesion 03 medical and health sciences 0302 clinical medicine medicine Humans 030216 legal & forensic medicine Forensic Pathology Cause of death Microscopy Ossification business.industry Multiple Trauma 010401 analytical chemistry Hyoid bone Anatomy medicine.disease Thyroid cartilage Polytrauma 0104 chemical sciences Issues ethics and legal aspects Postmortem Changes Thyroid Cartilage medicine.symptom business |
| Zdroj: | Legal medicine (Tokyo, Japan). 36 |
| ISSN: | 1873-4162 |
| Popis: | In forensic practice, laryngeal lesions are of particular interest for the pathologist, as they may sign foul play. We report the case of a decedent, whose body was found in an advanced state of putrefaction, at the bottom of a ledge, after a one-month disappearance. The face and neck were skeletised. The autopsy found multiple traumatic injuries. The hyoid bone was separated from the other laryngeal structures and seemed to be macroscopically normal. However, the thyroid cartilage had a thin notch at the base of the right upper horn. The nature of this notch was determined by microscopic examination: analysis showed incompletely ossified fibrous tissue, bordered by a line of enchondral ossification. We concluded that the notch was an old fracture, not concomitant with the polytrauma secondary to the fall that was the cause of death. This case shows that microscopic examination may allow the distinction between recent and old wound. Such a distinction is especially important in this context of polytrauma, where lesions could have been secondary to a fall, caused by a third party or unconnected with events. |
| Databáze: | OpenAIRE |
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