Li H, Cui X, Guan C
First Affiliated Hospital, China Medical University, Shenyang.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1995;30(5):302-4.
Hundred cases of precancerous laryngeal lesions were analysed on the basis of clinical pathology. The results showed that there was close relationship between the precancerous laryngeal lesions and voice abuse and long-term heavy smoking. The pathology showed epithelial hyperplasis and mild to severe atypical hyperplasia (heterotype). Scanning electronmicroscopy revealed that the more severe the degree of the epithelial heterotype, the more pleomorphic the shape of cell morphology, margin. Twenty cases had malignant changes later, and the rate of malignant change was high in those with atypical hyperplasia. Some lesions which were taken for polyps clinically and pathologycally could also have malignant changes, so more attention should be paid to these lesions during clinical management.
对100例喉癌前病变进行了临床病理分析。结果表明,喉癌前病变与用声过度及长期大量吸烟关系密切。病理表现为上皮增生及轻至重度非典型增生(异型性)。扫描电镜显示,上皮异型性程度越重,细胞形态、边缘的多形性越明显。20例后来发生了恶变,非典型增生者恶变率高。一些临床及病理诊断为息肉的病变也可发生恶变,因此临床处理时应更加关注这些病变。