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[喉黏液表皮样癌。病例报告及文献复习]

[Mucoepidermoid cancer of the larynx. Case report and review of the literature].

作者信息

Lippert B M, Werner J A, Schlüter E, Rudert H

机构信息

Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie, Universität Kiel.

出版信息

Laryngorhinootologie. 1992 Oct;71(10):495-9. doi: 10.1055/s-2007-997341.

Abstract

Mucoepidermoid carcinoma (MEC) is classified among the salivary gland tumours and is most commonly found in the parotid gland. It rarely occurs in the larynx. There have been only 87 cases of laryngeal MEC reported in the literature. We report on an MEC of the vocal cord in a 75-year-old man, with a thickened right vocal cord without any loss of movement. The initial diagnosis was squamous cell carcinoma. One year after radiotherapy a tumour recurrence developed. Because the patient refused to laryngectomise, a tumour resection with the CO2 laser was performed twice. To date, the patient has been free from disease for more than five years. The true incidence of this type of neoplasm could be higher than is believed because of its frequent misdiagnosis as squamous cell carcinoma.

摘要

黏液表皮样癌(MEC)归类于涎腺肿瘤,最常见于腮腺。它很少发生于喉部。文献中仅报道过87例喉部黏液表皮样癌。我们报告一例75岁男性声带黏液表皮样癌,右侧声带增厚但运动无任何受限。最初诊断为鳞状细胞癌。放疗一年后肿瘤复发。由于患者拒绝行喉切除术,遂用二氧化碳激光进行了两次肿瘤切除。迄今为止,该患者已无病生存超过五年。由于这种肿瘤常被误诊为鳞状细胞癌,其实际发病率可能高于人们的认知。

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