Ey M, Guastella C
Hals-Nasen-Ohren-Klinik der Städtischen Kliniken Darmstadt-Eberstadt.
Laryngol Rhinol Otol (Stuttg). 1988 May;67(5):255-8.
Only 9 cases of haemangiopericytoma of the larynx have been described so far in international literature. In the present paper the tenth case is reported. This report concerns a woman patient of 79 years of age suffering from haemangiopericytoma localised on the left aryepiglottidian fold and in the laryngeal wall of the left piriform sinus. Generally, the histopathological diagnosis of this type of tumour presents problems, in particular the differential diagnosis to glomus tumours and haemangioendotheliomas. Haemangiopericytoma is considered to be a malignant tumour, and hence the tumour must be extirpated as radically as possible while protecting the organ system. It is recommended to provide for regular clinical control of these patients. In our case we could extirpate the complete tumour radically via lateral pharyngotomy, protecting the larynx and its function. In addition, we performed cricopharyngeal myotomy to prevent postoperative deglutition disorders. 6 months postoperatively the patient is symptom-free and up to now there is no local recurrence of the tumour.
迄今为止，国际文献中仅报道过9例喉血管外皮细胞瘤。本文报告第10例。该报告涉及一名79岁女性患者，患有位于左杓会厌襞及左梨状窦喉壁的血管外皮细胞瘤。一般来说，这类肿瘤的组织病理学诊断存在问题，尤其是与血管球瘤和血管内皮瘤的鉴别诊断。血管外皮细胞瘤被认为是恶性肿瘤，因此必须在保护器官系统的同时尽可能彻底地切除肿瘤。建议对这些患者进行定期临床检查。在我们的病例中，我们通过侧咽切开术彻底切除了整个肿瘤，保护了喉部及其功能。此外，我们进行了环咽肌切开术以预防术后吞咽障碍。术后6个月患者无症状，至今肿瘤无局部复发。
