喉癌的组织病理学研究

A histopathological study of carcinoma of the larynx.

作者信息

Kurita S, Hirano M, Matsuoka H, Tateishi M, Sato K

出版信息

Auris Nasus Larynx. 1985;12 Suppl 2:S172-7. doi: 10.1016/s0385-8146(85)80054-7.

Abstract

Fifty-one laryngectomy specimens were histopathologically studied in serial sections. The incidence of thyroid cartilage invasion was 10% in supraglottic, 48% in glottic, and 67% in subglottic carcinomas. The incidence of cricoid cartilage invasion was 0% in supraglottic, 22% in glottic, and 33% in subglottic carcinomas. The sites of cartilage invasion were the anterior commissure portion and an ossified lower portion of the thyroid cartilage, and an ossified upper portion of the cricoid cartilage. Fixation of the vocal fold in glottic carcinoma was accounted for by carcinomatous invasion into three-fourths or more of the thyroarytenoid muscle. Impairment of the vocal fold movement was accounted for by carcinomatous invasion into three-fourths or less of the thyroarytenoid muscle. Fixation of the vocal fold in supraglottic carcinomas was accounted for by a massive carcinomatous invasion around the upper aspect of the arytenoid cartilage.

摘要

对51份喉切除术标本进行了连续切片的组织病理学研究。声门上癌侵犯甲状软骨的发生率为10%，声门癌为48%，声门下癌为67%。声门上癌侵犯环状软骨的发生率为0%，声门癌为22%，声门下癌为33%。软骨侵犯部位为甲状软骨的前联合部和下部骨化部分，以及环状软骨的上部骨化部分。声门癌中声带固定是由于癌组织侵犯了四分之三或更多的甲杓肌。声带运动障碍是由于癌组织侵犯了四分之三或更少的甲杓肌。声门上癌中声带固定是由于癌组织大量侵犯杓状软骨上方区域。