Koltsidopoulos Petros, Chaidas Konstantinos, Chlopsidis Paschalis, Skoulakis Charalambos
ENT Department, General Hospital of Volos "Achillopoulio," Polimeri 134, 38222 Volos, Greece.
Ear Nose Throat J. 2016 Jan;95(1):36-9.
We evaluated a series of 5 patients-3 men and 2 women, aged 39 to 70 years (mean: 54.4)-with a granular cell tumor (GCT) of the head and neck in an effort to better define the clinical presentation, imaging characteristics, and surgical management of this type of tumor. In all cases, the diagnosis was established by pathologic analysis. There were 2 cases of laryngeal GCT and 1 case each of GCT arising in the nostril, hypopharynx, and the tongue base. The clinical findings were variable, depending on the location and extent of each lesion. Four of these patients underwent endoscopic examination, and in 2 cases computed tomography was performed. Treatment included wide surgical excision of the lesion in all cases. Otolaryngologists should be familiar with this unusual tumor. Although an accurate preoperative diagnosis is extremely difficult to make, appropriate therapeutic intervention is associated with a cure rate that is quite high.
我们评估了一系列5例头颈部颗粒细胞瘤(GCT)患者,其中3例男性,2例女性,年龄在39至70岁之间(平均54.4岁),旨在更好地明确此类肿瘤的临床表现、影像学特征及手术治疗方法。所有病例均经病理分析确诊。其中喉GCT 2例,鼻孔、下咽及舌根GCT各1例。临床症状因每个病变的位置和范围而异。这些患者中有4例接受了内镜检查,2例进行了计算机断层扫描。所有病例的治疗均包括病变的广泛手术切除。耳鼻喉科医生应熟悉这种罕见肿瘤。虽然术前准确诊断极为困难,但适当的治疗干预可带来相当高的治愈率。