Batsakis J G, Raymond A K
Department of Pathology, University of Texas System Cancer Center, M.D. Anderson Hospital and Tumor Institute, Houston.
South Med J. 1988 Apr;81(4):481-4. doi: 10.1097/00007611-198804000-00018.
Tumors of cartilage in the larynx arise either from the cartilaginous skeleton of the larynx or as metaplastic nodules in laryngeal soft tissues, unassociated with the hyaline cartilages of the larynx. Chondrosarcomas, nearly always histologically low-grade, make up the largest numbers of the neoplasms and arise principally from the cricoid cartilage. Despite a recurrence rate of 65%, conservative surgical management, when possible, is advocated to preserve the larynx. Chondrometaplastic nodules are to be distinguished from chondrosarcoma and the rarely occurring chondroma. The nodules are not neoplastic and have a low to nil recurrent potential.
喉软骨肿瘤要么起源于喉的软骨支架,要么作为喉软组织中的化生结节出现,与喉的透明软骨无关。软骨肉瘤几乎在组织学上均为低级别,占肿瘤的最大比例,主要起源于环状软骨。尽管复发率为65%,但提倡在可能的情况下采用保守手术治疗以保留喉部。软骨化生结节需与软骨肉瘤及罕见的软骨瘤相鉴别。这些结节并非肿瘤,复发潜能低至无。