Ayshford C A, Walsh R M, Watkinson J C
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK.
J Laryngol Otol. 1998 Nov;112(11):1090-1. doi: 10.1017/s0022215100142549.
The presence of a mass in a jejunal free flap that causes dysphagia less than two years after a pharyngolaryngectomy for carcinoma usually indicates tumour recurrence. We present a case of invasive candidiasis of a jejunal free flap presenting with dysphagia and a mass. To our knowledge this is previously unreported. Such a cause should always be considered in the differential diagnosis, as early recognition and treatment are likely to result in a favourable outcome.
在因癌症行咽喉切除术后不到两年出现吞咽困难的空肠游离皮瓣中出现肿物,通常提示肿瘤复发。我们报告一例空肠游离皮瓣侵袭性念珠菌病,表现为吞咽困难和肿物。据我们所知,此前尚无此类报道。在鉴别诊断中应始终考虑到这种病因,因为早期识别和治疗可能会带来良好的预后。