Oztürk Ozmen, Sari Murat, Inanli Selçuk, Kara Esin Kotiloğlu
Department of Otolaryngology, Medicine Faculty of Marmara University, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2005;15(5-6):125-9.
Basaloid squamous cell carcinoma (SCC) is a very rare, high grade, and aggressive variant of SCC, with a predilection for the upper aerodigestive system. Treatment should include surgery of the primary tumor and dissection of the cervical lymph nodes, followed by radiotherapy. We present a 50-year-old man with basaloid SCC of the supraglottic larynx, which was initially misdiagnosed as SCC. Supraglottic laryngectomy with bilateral radical neck dissection was performed, and radiotherapy was applied postoperatively. During a follow-up of 26 months, no evidence for recurrence was found. Basaloid SCC should be considered in the differential diagnosis of upper aerodigestive system malignancies because it has a distinct prognostic significance compared to conventional SCC.
基底样鳞状细胞癌是一种非常罕见、高级别且具有侵袭性的鳞状细胞癌变体,好发于上呼吸消化道系统。治疗应包括原发肿瘤手术及颈部淋巴结清扫,随后进行放疗。我们报告一名50岁男性,患有声门上型喉基底样鳞状细胞癌,最初被误诊为鳞状细胞癌。行声门上喉切除术及双侧根治性颈清扫术,并在术后进行放疗。在26个月的随访中,未发现复发迹象。在上呼吸消化道系统恶性肿瘤的鉴别诊断中应考虑基底样鳞状细胞癌,因为与传统鳞状细胞癌相比,它具有独特的预后意义。