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喉软骨样肿瘤:计算机断层扫描结果

Chondroid tumors of the larynx: computed tomography findings.

作者信息

Wang S J, Borges A, Lufkin R B, Sercarz J A, Wang M B

机构信息

Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, CA 90095-1624, USA.

出版信息

Am J Otolaryngol. 1999 Nov-Dec;20(6):379-82. doi: 10.1016/s0196-0709(99)90077-7.

DOI:10.1016/s0196-0709(99)90077-7
PMID:10609482
Abstract

PURPOSE

Chondromas and chondrosarcomas of the larynx are rare cartilaginous tumors making up less than 1% of all laryngeal tumors. Patients typically present with symptoms of hoarseness, dysphagia, or dyspnea. The most common location in the larynx for these tumors is the cricoid cartilage. Radiographically, these lesions are typically hypodense, well-circumscribed masses containing mottled calcifications with smooth walls centered within the cartilage.

MATERIALS AND METHODS

We present 6 cases of chondroid tumors of the larynx.

RESULTS

One patient had a chondroma, 4 patients had low-grade chondrosarcomas, and 1 patient had an intermediate-grade chondrosarcoma. Two partial laryngeal resections and 4 total laryngectomies were performed.

CONCLUSIONS

In most cases of chondroma or chondrosarcoma of the larynx, conservative surgery should be attempted, but total laryngectomy may be required for large or recurrent lesions.

摘要

目的

喉软骨瘤和软骨肉瘤是罕见的软骨肿瘤,占所有喉肿瘤的比例不到1%。患者通常表现为声音嘶哑、吞咽困难或呼吸困难等症状。这些肿瘤在喉内最常见的部位是环状软骨。在影像学上,这些病变通常为低密度、边界清晰的肿块,含有斑驳的钙化,壁光滑,位于软骨内。

材料与方法

我们报告6例喉软骨样肿瘤病例。

结果

1例为软骨瘤,4例为低级别软骨肉瘤,1例为中级别软骨肉瘤。实施了2例部分喉切除术和4例全喉切除术。

结论

在大多数喉软骨瘤或软骨肉瘤病例中,应尝试进行保守手术,但对于较大或复发性病变可能需要行全喉切除术。

相似文献

1
Chondroid tumors of the larynx: computed tomography findings.喉软骨样肿瘤:计算机断层扫描结果
Am J Otolaryngol. 1999 Nov-Dec;20(6):379-82. doi: 10.1016/s0196-0709(99)90077-7.
2
[Our experience in chondrosarcoma. Three case reports].[我们在软骨肉瘤方面的经验。三例病例报告]
An Otorrinolaringol Ibero Am. 1999;26(3):241-8.
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[Chondroma of the larynx--case report and differential diagnosis in CT].[喉软骨瘤——病例报告及CT鉴别诊断]
Bildgebung. 1990;57(3-4):90-2.
4
[Chondromas and low-grade chondrosarcomas of the larynx: a case report].[喉软骨瘤和低级别软骨肉瘤:一例报告]
Ann Otolaryngol Chir Cervicofac. 2002 Sep;119(4):252-6.
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CT diagnosis of laryngeal cricoid chondrosarcoma.喉环状软骨软骨肉瘤的CT诊断
J Can Assoc Radiol. 1984 Dec;35(4):404-5.
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[Laryngeal chondromas: review of the literature and report of three cases].[喉软骨瘤:文献综述及三例报告]
Otolaryngol Pol. 2001;55(3):331-4.
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Chondroma and chondrosarcoma of the larynx.喉软骨瘤和软骨肉瘤
Curr Opin Otolaryngol Head Neck Surg. 2004 Apr;12(2):98-105. doi: 10.1097/00020840-200404000-00008.
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Cartilaginous tumors of the larynx.喉软骨肿瘤
Rev Interam Radiol. 1981 Apr;6(2):35-42.
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Long-term follow-up of cartilaginous tumors of the larynx.喉软骨肿瘤的长期随访
Otolaryngol Head Neck Surg. 2001 Jun;124(6):634-40. doi: 10.1177/019459980112400607.
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Chondrosarcoma of the larynx: a clinicopathologic study of 111 cases with a review of the literature.喉软骨肉瘤:111例临床病理研究并文献复习
Am J Surg Pathol. 2002 Jul;26(7):836-51. doi: 10.1097/00000478-200207000-00002.

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