Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21287, USA.
Am J Otolaryngol. 2013 Mar-Apr;34(2):172-5. doi: 10.1016/j.amjoto.2012.11.003. Epub 2013 Jan 9.
Amyloid is an extracellular proteinaceous low-molecular-weight fibril. In the larynx, amyloid deposits usually represent a benign localized disease. Although laryngeal amyloidosis is an indolent lesion, amyloid deposition in the larynx may actually result from a lymphoproliferative disorder and not isolated amyloidosis. In this case report, we describe a patient referred for laryngeal amyloidosis who was subsequently diagnosed with extramedullary plasmacytoma of the larynx. The report discusses the presentation, diagnosis, and treatment provided. The importance of systemic workup and accurate tissue diagnosis in differentiating primary amyloidosis and secondary amyloid deposition will be highlighted.
淀粉样物是一种细胞外的蛋白质样低分子量纤维。在喉部,淀粉样物沉积通常代表一种良性局限性疾病。虽然喉淀粉样变性是一种惰性病变,但喉部的淀粉样物沉积实际上可能是由于淋巴增生性疾病引起的,而不是孤立性淀粉样变性。在本病例报告中,我们描述了一位因喉淀粉样变性而就诊的患者,随后被诊断为喉髓外浆细胞瘤。该报告讨论了提供的表现、诊断和治疗。强调了全身检查和准确的组织诊断在区分原发性淀粉样变性和继发性淀粉样物沉积中的重要性。