Johansen E C, Illum P
Department of Otology, Vejle Hospital, Denmark.
J Laryngol Otol. 1995 Feb;109(2):147-53. doi: 10.1017/s0022215100129524.
A review of extracardial rhabdomyomas of the larynx reported in the literature is presented. A new case is added (the largest described yet). The diagnosis was based on routine histological and immunohistological staining, and electron microscopy. The extracardial rhabdomyomas were divided into three types according to histopathological findings: (i) adult; (ii) foetal cellular type; and (iii) foetal myxoid. There are 23 well-documented cases (including this case) of extracardial rhabdomyomas of the larynx; 15 of the adult type, four of the foetal myxoid type and four of the foetal cellular type. The differential diagnosis and the requisite diagnostic procedure is discussed. The tumour is benign. The treatment is surgical excision. Although rare, its existence should be kept in mind in the differential diagnosis of laryngeal tumours.
本文对文献中报道的喉外生性横纹肌瘤进行了综述。新增了1例新病例(为迄今所描述的最大病例)。诊断基于常规组织学和免疫组织化学染色以及电子显微镜检查。根据组织病理学结果,喉外生性横纹肌瘤分为三种类型:(i)成人型;(ii)胎儿细胞型;(iii)胎儿黏液样型。有23例(包括本病例)记录完整的喉外生性横纹肌瘤病例;其中成人型15例,胎儿黏液样型4例,胎儿细胞型4例。讨论了鉴别诊断及必要的诊断程序。该肿瘤为良性。治疗方法为手术切除。尽管罕见,但在喉肿瘤的鉴别诊断中应考虑到其存在。