Bough I D, Chiles P J, Fratalli M A, Vernose G
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Am J Otolaryngol. 1995 Mar-Apr;16(2):126-31. doi: 10.1016/0196-0709(95)90045-4.
Although CS is the most common mesenchymal tumor of the larynx, there have only been approximately 200 cases reported to date. The nature, diagnosis, and management of these tumors are discussed. Although conservative therapy is acceptable in most instances, total laryngectomy may be opted for in cases of extensive tumor, high-grade lesions, and recurrences. CO2 laser excision for palliation has been shown to be a viable alternative in patients with high-operative risk. It is also shown that the behavior of these tumors is predictable, though not without some variation. Although these tumors are rare, CS must be considered when presented with a solid subglottic or neck mass.
尽管软骨肉瘤是喉最常见的间叶性肿瘤，但迄今为止报道的病例仅有约200例。本文讨论了这些肿瘤的性质、诊断和治疗。虽然在大多数情况下保守治疗是可以接受的，但对于肿瘤广泛、高级别病变和复发的病例，可能会选择全喉切除术。对于手术风险高的患者，二氧化碳激光切除用于缓解症状已被证明是一种可行的替代方法。研究还表明，这些肿瘤的行为是可预测的，尽管存在一些差异。虽然这些肿瘤很罕见，但当出现声门下实性肿块或颈部肿块时，必须考虑软骨肉瘤。
