伴有声带麻痹的不寻常气管旁肿块。
Unusual paratracheal masses presenting with vocal fold paralysis.
作者信息
Reiter Evan R, Idowu Michael O, Powers Celeste N
机构信息
Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Box 980146, Richmond, VA 23298-0146, USA.
出版信息
Ear Nose Throat J. 2006 Feb;85(2):112-5.
Most paratracheal masses are of thyroid origin. We describe two cases of vocal fold paralysis that were caused by unusual paratracheal masses. In one case, a 35-year-old man was found to have a malignant lymphoma that originated in the mediastinum and extended above the clavicle. The other patient was a 53-year-old man with an enlarged left thyroid lobe, tumor invasion of the adjacent larynx and trachea, and multiple pulmonary nodules all due to adenoid cystic carcinoma. Unusual paratracheal masses presenting with vocal fold paralysis may mimic thyroid malignancies, thereby posing both diagnostic and therapeutic challenges. Fine-needle aspiration cytology is often helpful in making a definitive diagnosis, but incisional biopsy is necessary in some cases.
大多数气管旁肿块起源于甲状腺。我们描述了两例由不寻常的气管旁肿块引起的声带麻痹病例。一例为一名35岁男性，发现患有起源于纵隔并延伸至锁骨上方的恶性淋巴瘤。另一例患者是一名53岁男性，因腺样囊性癌导致左甲状腺叶肿大、肿瘤侵犯相邻的喉和气管以及多发肺结节。表现为声带麻痹的不寻常气管旁肿块可能酷似甲状腺恶性肿瘤，从而带来诊断和治疗方面的挑战。细针穿刺细胞学检查通常有助于做出明确诊断，但在某些情况下需要进行切开活检。
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