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巨大软骨肉瘤切除术后的喉重建。

Reconstruction of the larynx after a resection of a huge chondrosarcoma.

作者信息

Czecior Eugeniusz, Scierski Wojciech, Misiołek Maciej, Sowa Paweł, Namyslowski Grzegorz

机构信息

Eugeniusz Czecior - główny operator, przygotowanie artykułu.

出版信息

Otolaryngol Pol. 2011 Nov-Dec;65(6):459-61. doi: 10.1016/S0030-6657(11)70742-9.

DOI:10.1016/S0030-6657(11)70742-9
PMID:22208946
Abstract

Chondrosarcoma of the larynx is a rare condition of still unknown pathogenesis. This tumor occurs usually between the sixth and seventh decade of life. Forty five years old patient was admitted to the ENT Department in Zabrze for a diagnosis of a slow growing tumor from about 3 years. The great unmovable tumor 2.5 cm/3 cm/3 cm was arising from the cricoid cartilage. The hist-pat result of the biopsy was cartilage. The patient did not agree on the proposed surgical treatment. After one year, in the MRI examination, the tumor sized 46 mm/37 mm/39 mm was found. The patient was again qualified for the operation and agreed for the proposed treatment. In general anesthesia, the tumor together with the part of trachea, cricoids and thyroid cartilages was resected. After excision the reconstruction was performed. During 10 months of the follow-up the patient remains free of the disease.

摘要

喉软骨肉瘤是一种发病机制尚不清楚的罕见疾病。这种肿瘤通常发生在60至70岁之间。一名45岁的患者因诊断出一个生长约3年的缓慢生长肿瘤而入住扎布热的耳鼻喉科。一个大小为2.5厘米×3厘米×3厘米、固定不动的大肿瘤起源于环状软骨。活检的组织病理学结果为软骨。患者不同意提议的手术治疗。一年后,在磁共振成像(MRI)检查中,发现肿瘤大小为46毫米×37毫米×39毫米。该患者再次符合手术条件并同意接受提议的治疗。在全身麻醉下,切除肿瘤连同部分气管、环状软骨和甲状软骨。切除后进行了重建。在10个月的随访期间,患者未再发病。

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