Laroche G P
Can J Surg. 1982 Mar;25(2):206-7.
Synchronous or metachronous carcinoma of the larynx and of the lung were seen in seven patients between 1971 and 1977 at the Hôtel-Dieu de Québec. The pulmonary lesion was either missed completely or misdiagnosed. Laryngeal tumours were curable but only two of the pulmonary tumours were treated successfully. The primary nature of the pulmonary lesion may be established by careful examination of the bronchial mucosa. Hemoptysis must always be regarded as a sign of pulmonary cancer unless proven otherwise; hoarseness must not be bluntly attributed to invasion of the laryngeal nerve by lung cancer because a small primary lesion of the vocal cords may exist. Possible pulmonary metastases from any respiratory tract cancer must be carefully diagnosed since curative resection of primary lung lesions is possible.
1971年至1977年间，魁北克圣母医院有7例患者出现喉与肺的同时性或异时性癌。肺部病变要么完全漏诊，要么误诊。喉部肿瘤可治愈，但只有两例肺部肿瘤得到成功治疗。通过仔细检查支气管黏膜可确定肺部病变的原发性质。除非另有证实，咯血必须始终被视为肺癌的迹象；声音嘶哑绝不能直接归因于肺癌侵犯喉返神经，因为可能存在声带的小原发病变。任何呼吸道癌症可能的肺转移都必须仔细诊断，因为原发性肺部病变有可能进行根治性切除。
