Barry B, Charlier J B, Ameline E, Nallet E, Depondt J, Géhanno P
Service ORL, Hôpital Bichat-Claude Bernard, 46 rue Henri Huchard, 75877 Paris Cedex 18.
Ann Otolaryngol Chir Cervicofac. 2000 Nov;117(5):322-6.
Pharyngeal and laryngeal lipoma are uncommon mesenchymal tumors. This report discusses the clinical and pathological features of five cases and a review of the literature. Symptoms included dysphagia, throat discomfort and airway obstruction in three patients. These complaints occurred over several years. One patient had a recurrent fibrolipoma and had experienced several surgical procedures. Surgery is the treatment of choice including conservative procedures but for large tumors open surgical approaches rather than endoscopic techniques should be employed. Recurrent tumor may be a sign of incomplete excision but also of a well-differentiated liposarcoma.
咽和喉脂肪瘤是罕见的间叶组织肿瘤。本报告讨论了5例患者的临床和病理特征,并对文献进行了综述。3例患者的症状包括吞咽困难、咽喉不适和气道阻塞。这些症状持续了数年。1例患者患有复发性纤维脂肪瘤,并接受了多次外科手术。手术是首选的治疗方法,包括保守手术,但对于较大的肿瘤,应采用开放手术方法而非内镜技术。复发性肿瘤可能表明切除不完全,但也可能是高分化脂肪肉瘤的表现。