Potochny Evelyn M, Huber Aaron R
Naval Medical Center San Diego, San Diego, CA, USA,
Head Neck Pathol. 2014 Mar;8(1):114-6. doi: 10.1007/s12105-013-0483-7. Epub 2013 Aug 9.
Laryngeal chondrosarcoma is a rare tumor requiring clinical, histologic, and radiographic correlation for definitive diagnosis. Although it typically presents with low-grade histology, even high-grade histology has a fairly indolent progression in this location, with a relatively low-likelihood for metastatic potential or recurrence. Because of this, conservative surgical excision with negative margins is recommended. We present a case of a laryngeal chondrosarcoma arising from the cricoid cartilage in a patient who presented with hoarseness, dysphagia, and odynophagia with subsequent head and neck computed tomography scan suggestive of the diagnosis. The patient was treated with hemicricoidectomy.
喉软骨肉瘤是一种罕见肿瘤,确诊需要临床、组织学及影像学检查结果相互印证。尽管其组织学分级通常较低,但即使是高级别组织学类型在该部位的进展也相对缓慢,发生转移或复发的可能性相对较低。因此,建议行切缘阴性的保守性手术切除。我们报告一例环状软骨来源的喉软骨肉瘤病例,该患者表现为声音嘶哑、吞咽困难及吞咽痛,随后的头颈部计算机断层扫描提示了诊断。患者接受了半环状软骨切除术。