Yoskovitch A, Cambronero E, Said S, Whiteman M, Goodwin W J
Department of Otolaryngology-Head and Neck Surgery, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada.
Ear Nose Throat J. 1999 Feb;78(2):122-5; quiz 126-8.
Fewer than 15% of lipomas occur in the head and neck. To date, fewer than 100 cases of laryngeal lipoma have been reported in the literature. Typical clinical manifestations include dysphagia, dyspnea and hoarseness, as well as the presence of a smooth or pedunculated mass seen endoscopically and a low attenuation mass on computed tomography scan. Pathologic sections commonly reveal a tumor consisting of mature adipocytes, which is often encapsulated. Treatment of laryngeal lipoma varies from conservative total endoscopic removal to external surgical approaches. The following is a report of a single case of laryngeal lipoma, including pathologic and radiologic findings, as well as a review of the literature.
不到15%的脂肪瘤发生于头颈部。迄今为止，文献报道的喉脂肪瘤病例不足100例。典型的临床表现包括吞咽困难、呼吸困难和声音嘶哑，在内镜检查中可见光滑或有蒂的肿物，计算机断层扫描显示为低密度肿物。病理切片通常显示肿瘤由成熟的脂肪细胞组成，且常有包膜。喉脂肪瘤的治疗方法多样，从保守的全内镜切除到外科手术切除。以下是一例喉脂肪瘤的病例报告，包括病理和影像学检查结果，以及文献复习。
