Hung Kuang-Liang, Tai Shyh-Kuan, Chang Shyue-Yih, Li Wing-Yin
Department of Otolaryngology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2003 Nov;66(11):693-7.
Non-squamous cell carcinoma (SCC) is a rare cancer in the larynx. Although atypical carcinoid tumor is the most common one, it is frequently unrecognized. We present a 55-year-old man with laryngeal atypical carcinoid tumor in the supraglottic region with initial manifestation of neck metastases. Two diagnostic biopsies revealed malignancy of different cell origins. The final pathologic report confirmed this diagnosis after the patient received total laryngectomy and radical neck dissection later. He received post-operative radiotherapy and was disease-free after a 19-month follow-up. We discuss this tumor with particular reference to the difficulty in distinguishing this tumor from other tumors of the larynx. The accurate pathological identification of this tumor is essential for treatment and prognosis.
非鳞状细胞癌（SCC）是一种罕见的喉癌。虽然非典型类癌是最常见的类型，但它常常未被识别。我们报告一例55岁男性，声门上区喉非典型类癌，最初表现为颈部转移。两次诊断性活检显示不同细胞来源的恶性肿瘤。患者随后接受全喉切除术和根治性颈清扫术后，最终病理报告证实了这一诊断。他接受了术后放疗，19个月的随访后无疾病复发。我们讨论了这种肿瘤，特别提及了将其与其他喉肿瘤区分开来的困难。准确的病理识别对于该肿瘤的治疗和预后至关重要。
