Takayama H, Sato H, Ota Z, Nishizaki K, Ogawa N
Third Department of Internal Medicine, Okayama University Medical School, Japan.
J Med. 1987;18(3-4):251-8.
A laryngeal carcinoma presenting as severe dyspnea and stridor due to bilateral vocal cord paralysis was found in a 66-year-old man who had been suffering from Parkinson's disease (PD) for twenty years. Although laryngeal carcinoma is a common cause of bilateral vocal cord paralysis, patients with PD have been suspected to have a low cancer incidence, and this may be the first case report. Therapeutics have extended the survival of patients with PD, and the possibility of developing vocal cord paralysis. Thus, it is important for the physician to be aware that this condition may be caused by carcinoma even in PD cases.
一名66岁男性患者,患帕金森病(PD)20年,因双侧声带麻痹出现严重呼吸困难和喘鸣,被发现患有喉癌。虽然喉癌是双侧声带麻痹的常见原因,但帕金森病患者被怀疑癌症发病率较低,这可能是首例病例报告。治疗方法延长了帕金森病患者的生存期,也增加了发生声带麻痹的可能性。因此,医生必须意识到,即使在帕金森病患者中,这种情况也可能由癌症引起。