Zhang Hong Kai, Liu Hong Gang
The Pathology Department, Beijing Tongren Hospital, Capital Medical University, No.2, Chongwenmennei Street, Dongcheng District, Beijing, China.
Pediatr Surg Int. 2011 Dec;27(12):1377-80. doi: 10.1007/s00383-011-2928-y. Epub 2011 May 18.
Squamous cell carcinoma (SCC) involving the larynx in childhood is very rare, especially in the ages younger than 10 years. Most of the reported cases are transformed from the recurrent respiratory papillomatosis (RRP) with human papilloma virus (HPV) infection. Due to the RRP long course, the rarity and the unspecific symptoms of the cancer, they usually are diagnosed at late stages. Controversy exists regarding the causes and the treatments of these kinds of diseases. Here, we reviewed the related reports and presented a case of 7-year-old boy who had an advanced well-differentiated SCC of the larynx which transformed from RRP with HPV genotyping test negative. The patient underwent only the resection of involved tissues and no other treatments. Except for hoarseness in his voice, the boy is going well and has had an uneventful course of 10 years following operative treatment.
儿童喉鳞状细胞癌(SCC)非常罕见,尤其是在10岁以下的儿童中。大多数报道的病例是由复发性呼吸道乳头状瘤病(RRP)伴人乳头瘤病毒(HPV)感染转变而来。由于RRP病程长、癌症罕见且症状不具特异性,这些病例通常在晚期才被诊断出来。关于这类疾病的病因和治疗存在争议。在此,我们回顾了相关报道,并呈现了一例7岁男孩的病例,该男孩患有由RRP转变而来的晚期高分化喉SCC,HPV基因分型检测为阴性。该患者仅接受了受累组织切除术,未进行其他治疗。除声音嘶哑外,该男孩情况良好,术后10年病情平稳。