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喉纤维脂肪瘤:一例报告

Laryngeal Fibrolipoma: A Case Report.

作者信息

Garza-Montelongo Luis Ángel, Cortés-Ponce José Rosmal, Jasso-Ramírez Nadia Gabriela, Trevino-González José Luis, Ramos-Marrero Hayde Sarahí

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario "Dr. José Eleuterio González", Monterrey, MEX.

Department of Pathological Anatomy and Cytopathology, Hospital Universitario "Dr. José Eleuterio González", Monterrey, MEX.

出版信息

Cureus. 2025 Jan 6;17(1):e76998. doi: 10.7759/cureus.76998. eCollection 2025 Jan.

Abstract

Fibrolipoma is a benign mesenchymal tumor with a rare presentation in the aerodigestive tract. This lesion is characterized by a slow growth rate and symptoms such as dysphagia, dysphonia, and dyspnea due to the mass effect on neighboring structures. Achieving optimal surgical outcomes requires indirect laryngoscopy and imaging techniques such as computed tomography (CT) or magnetic resonance imaging (MRI), which provide useful information for a better understanding of the underlying pathology. Surgery is the treatment of choice, whether using an external or endoscopic approach. Complete excision of the lesion is essential because of the elevated risk of local recurrence. This case report presents a patient diagnosed with laryngeal fibrolipoma who underwent an external approach to the lesion, highlighting the need for a post-surgical follow-up due to the substantial risk of recurrence, even after prolonged disease-free intervals.

摘要

纤维脂肪瘤是一种良性间叶组织肿瘤,在气道消化道中罕见。该病变的特点是生长缓慢,由于对邻近结构的占位效应,可出现吞咽困难、声音嘶哑和呼吸困难等症状。要获得最佳手术效果,需要间接喉镜检查以及计算机断层扫描(CT)或磁共振成像(MRI)等成像技术,这些技术可为更好地了解潜在病理提供有用信息。手术是首选治疗方法,无论是采用外部手术还是内镜手术。由于局部复发风险较高,完整切除病变至关重要。本病例报告介绍了一名被诊断为喉部纤维脂肪瘤的患者,该患者接受了针对病变的外部手术,强调即使在长时间无病期后仍有复发的重大风险,因此术后需要进行随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b826/11796487/c2cfb47d611f/cureus-0017-00000076998-i01.jpg

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