喉部巨大梭形细胞脂肪瘤引起的急性呼吸困难。
Acute dyspnea caused by a giant spindle cell lipoma of the larynx.
作者信息
Wolf-Magele Astrid, Schnabl Johannes, Url Christoph, Sedivy Roland, Sprinzl Georg Mathias
机构信息
Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria.
Department of Otolaryngology, University Hospital Innsbruck, Innsbruck, Austria.
出版信息
Wien Klin Wochenschr. 2016 Feb;128(3-4):146-9. doi: 10.1007/s00508-015-0866-8. Epub 2015 Oct 5.
BACKGROUND
The spindle cell lipoma (SCL) is a special type of lipoma and this is very rare in the head and neck regions. There are only five reported cases exist, which describes the occurrence of a SCL in the hypopharynx.
METHODS
Our case report presents a case of a very large SCL in the larynx. We want to describe that how we treated the patients and compared the situation with other reported cases.
RESULTS
Intraoperatively, we found a tumor mass of 7 × 5 cm. It was successfully removed with the carbon dioxide laser. No postoperative complications occurred.
CONCLUSIONS
Although SCL is a very rare diagnosis in the larynx/hypopharynx, it should be included in the differential diagnosis of larynx/hypopharynx tumors. Our case is the first report of such a large SCL in the larynx. The clinical symptoms occurred relatively late and ended up in an acute situation of stridor and dyspnea.
背景
梭形细胞脂肪瘤（SCL）是一种特殊类型的脂肪瘤，在头颈部区域非常罕见。仅有五例报告病例描述了下咽出现SCL的情况。
方法
我们的病例报告展示了一例喉部巨大SCL病例。我们想描述我们是如何治疗该患者的，并将情况与其他报告病例进行比较。
结果
术中，我们发现一个7×5厘米的肿瘤肿块。使用二氧化碳激光成功将其切除。未发生术后并发症。
结论
尽管SCL在喉/下咽是一种非常罕见的诊断，但在喉/下咽肿瘤的鉴别诊断中应予以考虑。我们的病例是喉部如此大的SCL的首例报告。临床症状出现相对较晚，最终发展为急性喘鸣和呼吸困难情况。
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