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喉内涎腺导管乳头瘤:病例报告。

Intraductal Papilloma Arising From the Minor Salivary Glands of the Larynx: A Case Report.

机构信息

Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan.

Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, Japan.

出版信息

Ear Nose Throat J. 2022 Feb;101(2):NP73-NP77. doi: 10.1177/0145561320944638. Epub 2020 Aug 3.

Abstract

It is rare for intraductal papilloma, a benign papillary tumor, to occur in the salivary glands. To our knowledge, intraductal papilloma occurring in the minor salivary glands of the larynx has not been reported. In this report, we describe a case of intraductal papilloma that occurred in the minor salivary glands of the larynx. A woman in her 30s presented with hoarseness and dyspnea since a year. Fiber-optic laryngoscopy revealed a submucosal tumor involving the left aryepiglottic fold and the left false vocal fold. Computed tomography and magnetic resonance imaging revealed a 17 × 15 × 10 mm mass with homogenous isodensity, with regular, well-defined margins located on the left aryepiglottic fold and the left false vocal fold. Surgical resection was performed, and subsequently a diagnosis of intraductal papilloma was made by pathologic evaluation. During the follow-up period of over 3 years, the lesion has not recurred. In conclusion, intraductal papilloma of the minor salivary glands should be considered in the differential diagnosis of laryngeal submucosal tumors.

摘要

在唾液腺中,导管内乳头状瘤(一种良性乳头状肿瘤)很少见。据我们所知,喉内小唾液腺的导管内乳头状瘤尚未见报道。本报告描述了一例发生在喉内小唾液腺的导管内乳头状瘤。一名 30 多岁的女性因声音嘶哑和呼吸困难 1 年余就诊。纤维喉镜检查显示左杓会厌皱襞和左侧假声带的黏膜下肿瘤。计算机断层扫描和磁共振成像显示位于左杓会厌皱襞和左侧假声带的 17×15×10mm 大小的肿块,具有均匀的等密度,边界规则,界限清楚。行手术切除,术后病理诊断为导管内乳头状瘤。在超过 3 年的随访期间,病变未复发。总之,在喉黏膜下肿瘤的鉴别诊断中应考虑到小唾液腺的导管内乳头状瘤。

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