Messaoudi C, Larouk R, Baili S, Noui B, Benchaoui M, Benkadri H, Belbekri F
CHU Ibn Badis Constantine, Service ORL et de Chirurgie Cervico-Faciale, 25000 Constantine, Algérie.
Rev Laryngol Otol Rhinol (Bord). 2007;128(1-2):97-100.
Cylindroma of the head and neck, known as "cystic adenoid carcinoma", begins more often at the expense of the all glandular structures of ectodermic origin, in particularly at the minor and principal salivary glands. However the laryngeal localization is rare, by way of the low distribution of the accessory glands at this level.
To study the clinical characteristics; anatomo-pathologic, treatment and results together with a review of the literature.
We report the case a 49 years old patient, without particular antecedent, and wither a sub-glottis tumour presenting as a dysphonic. A biopsy is realized under general anesthesia, and the histopathologic results has been a laryngeal CAK, a radio therapy was also under taken, because the patient refused the surgery.
The patient is free of disease after six months of follow up.
The laryngeal cylindroma is rare. The symptomatology does not show a proper characteristic, the diagnosis is a histological finding, and the natural evolution is marked by the very show development of this tumour the onset of cervical lymphatic adenopathy. The local recurrence and metastasis. The surgical exercise, followed by radiotherapy seen to be the best treatment of choice.
头颈部圆柱瘤,又称“囊性腺样癌”,多起源于外胚层来源的所有腺性结构,尤其是小唾液腺和大唾液腺。然而,由于该部位副腺分布较少,喉部受累情况罕见。
研究其临床特征、解剖病理学、治疗方法及结果,并复习相关文献。
我们报告了一例49岁患者,无特殊既往史,患有声门下肿瘤,表现为声音嘶哑。在全身麻醉下进行活检,组织病理学结果为喉部圆柱瘤,由于患者拒绝手术,因此也进行了放疗。
随访6个月后患者无疾病迹象。
喉部圆柱瘤罕见。症状无特异性,诊断依靠组织学检查,其自然病程以肿瘤生长缓慢、颈部淋巴结病的发生、局部复发和转移为特征。手术加放疗似乎是最佳的治疗选择。