Qiao Yi-Xin, Zhao Yu, Jiang Li-Li
Department of Otorhinolaryngology, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2020 Mar;51(2):261-263. doi: 10.12182/20200360202.
A 75-year-old male patient was hospitalized in hoarseness for 2 months. Laryngoscopy showed a mass protruding in right laryngeal chamber and covering the middle part of right vocal cord. Since tumor biopsy showed low differentiation cancer, he received total laryngectomy, and post-operative pathological result found composite carcinoma, which containing medium differentiated squamous cell carcinoma (about 5%) and low differentiated neuroendocrine carcinoma (about 95%). The growth status of tumor indicated it was collision carcinoma. After postoperative regular radiotherapy, no recurrence was found at 6 months of follow-up. The incidence of head and neck collision carcinoma is quite low, and the majority of them occurs in thyroid, which is rare in larynx. The confirmed diagnosis of larynx collision carcinoma is based on postoperative pathological study. The choice of treatment for collision cancer is closely related to the pathological components, the location of the disease and whether there is distant metastasis.
一名75岁男性患者因声音嘶哑住院2个月。喉镜检查显示右喉腔内有一肿物突出,覆盖右侧声带中部。由于肿瘤活检显示为低分化癌,他接受了全喉切除术,术后病理结果为复合癌,其中包含中分化鳞状细胞癌(约5%)和低分化神经内分泌癌(约95%)。肿瘤生长状态提示为碰撞癌。术后进行常规放疗,随访6个月未发现复发。头颈部碰撞癌的发病率相当低,大多数发生在甲状腺,在喉部罕见。喉碰撞癌的确诊基于术后病理研究。碰撞癌的治疗选择与病理成分、病变部位以及是否存在远处转移密切相关。