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头颈部原发性蕈样肉芽肿

D'emblee type of mycosis fungoides of head and neck.

作者信息

Gupta I M, Gupta O P, Samant H C, Bhatia P L, Ankaiah S

出版信息

Laryngoscope. 1975 May;85(5):898-903. doi: 10.1288/00005537-197505000-00017.

DOI:10.1288/00005537-197505000-00017
PMID:1142964
Abstract

Mycosis fungoides as a disorder of reticulo-endothelial system occurs in the eczematous or psoriatic stage, progresses to infiltrated plaque stage and finally to tumorous form with or without systemic spread. The head and neck is rarely involved. A case is presented in which the disease process started as a tumor (d'emblee type) and remained localized in the head and neck region without a generalized spread. The tumorous lesion rapidly increased in size and involved deeper tissues of the neck to cause infranuclear facial palsy and medial bulging of the tonsil' it also extended in the superior mediastinum casuing pressure on the trachea and the esophagus. The patient died of respiratory failure.

摘要

蕈样肉芽肿作为网状内皮系统的一种疾病,发生于湿疹样或银屑病样阶段,进展为浸润性斑块期,最终发展为肿瘤型,可伴有或不伴有全身播散。头颈部很少受累。本文报告一例,疾病过程起始即为肿瘤(初发性),局限于头颈部区域,无全身播散。肿瘤性病变迅速增大,累及颈部深部组织,导致核下性面瘫和扁桃体向内侧隆起;它还向上纵隔扩展,压迫气管和食管。患者死于呼吸衰竭。

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