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[侵袭性甲状腺乳头状癌伴巨大喉气囊肿]

[Invasive papillary carcinoma of the thyroid associated with a voluminous laryngocele].

作者信息

Rattin C

机构信息

Service d'otorhinolaryngologie, Hôtel Dieu, 175, rue Maréchal-Foch, 71200, Le Creusot, France.

出版信息

Ann Otolaryngol Chir Cervicofac. 2007 Dec;124(6):326-9. doi: 10.1016/j.aorl.2007.01.006. Epub 2007 Oct 31.

DOI:10.1016/j.aorl.2007.01.006
PMID:17976512
Abstract

OBJECTIVES

To determine the value of computed tomography scan in the associated laryngeal and thyroid pathology.

MATERIAL AND METHODS

The giant laryngocele caused acute obstruction of the upper respiratory airway. Clinically, presenting symptoms includes lateral neck mass, dysphagia, cough, dyspnea. A neck CT scan is a special X-ray study that is used to examine structures located in the neck and upper chest.

RESULTS

On computed tomography (CT), a mixed (external) laryngocele appears as a well-marginated fluid-filled cystic mass in the lower submandibular space at the level of the thyrohyoid membrane. In this case, computed tomography of the neck showed an associated lesion between the larynx and the invasive thyroid tumor. The laryngocele was treated by extramucous lateral thyrotomy and the carcinoma removed through subtotal thyroidectomy.

CONCLUSIONS

CT scan demonstrated its great value in the evaluation of the patient with a neck mass.

摘要

目的

确定计算机断层扫描在相关喉及甲状腺病变中的价值。

材料与方法

巨大喉气囊肿导致上呼吸道急性梗阻。临床上,表现症状包括颈部侧方肿块、吞咽困难、咳嗽、呼吸困难。颈部CT扫描是一种特殊的X线检查,用于检查位于颈部和上胸部的结构。

结果

在计算机断层扫描(CT)上,混合性(外部型)喉气囊肿表现为甲状舌骨膜水平下颌下间隙下部边界清晰的液性囊肿性肿块。在该病例中,颈部计算机断层扫描显示喉部与侵袭性甲状腺肿瘤之间存在相关病变。喉气囊肿通过黏膜外侧面甲状腺切开术治疗,癌肿通过甲状腺次全切除术切除。

结论

CT扫描在评估颈部肿块患者方面显示出巨大价值。

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