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环状软骨低度恶性喉软骨肉瘤:一例报告

Low Grade Laryngeal Chondrosarcoma of the Cricoid Cartilage: A Case Report.

作者信息

Carlson Colton D, Bowman Gaven, Amundson Aaron, Spanos William C

机构信息

University of South Dakota Sanford School of Medicine.

Sanford Research, Sioux Falls, South Dakota.

出版信息

S D Med. 2025 Mar;78(3):104-108.

Abstract

Laryngeal chondrosarcomas are a rare class of laryngeal tumor arising from the various cartilages in the larynx. Despite their generally benign nature, removal of laryngeal chondrosarcomas is essential as the tumor often obstructs the larynx resulting in vocal defects and can impede breathing in advanced cases. In this case, we present a 61-yearold male with a low-grade laryngeal chondrosarcoma arising from the cricoid cartilage. The patient presented with a long history of hoarseness accompanied by normal physical exam and lab findings. After CT imaging showed a laryngeal mass, biopsy and histological examination were performed and confirmed a diagnosis of low-grade laryngeal chondrosarcoma arising from the cricoid cartilage. The patient was primarily treated via an anterior commissure laryngoscope with thulium laser resection and further debulking was able to be performed multiple months after the initial procedure during another unrelated neck surgery. The eight-month follow up course resulted in retention of laryngeal function and no recurrence on CT scan. This case provides a thorough look into a chondrosarcoma arising from the larynx with a discussion of workup for these rare airway related tumors.

摘要

喉软骨肉瘤是一类罕见的喉部肿瘤,起源于喉部的各种软骨。尽管其性质通常为良性,但切除喉软骨肉瘤至关重要,因为该肿瘤常阻塞喉部,导致声音缺陷,在晚期病例中还会阻碍呼吸。在此病例中,我们报告一名61岁男性,患有起源于环状软骨的低级别喉软骨肉瘤。患者有长期声音嘶哑病史,体格检查和实验室检查结果均正常。CT成像显示喉部有肿物后,进行了活检和组织学检查,确诊为起源于环状软骨的低级别喉软骨肉瘤。患者最初通过前联合喉镜行铥激光切除术进行治疗,在初次手术后数月的另一次无关颈部手术中,得以进一步切除肿瘤。八个月的随访过程中,患者保留了喉部功能,CT扫描未发现复发。本病例深入探讨了起源于喉部的软骨肉瘤,并讨论了这些罕见的气道相关肿瘤的检查方法。

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