喉疣状癌5例临床与病理分析

目的 分析喉疣状癌的临床与病理学改变的特点。方法 ５例喉疣状癌，４例行垂直半喉切除，１例经口局部切除烧灼，经病理学检查确定诊断。结论５例病人喉镜检查见声带病变局部有一定特点，病理切片可见疣状癌的特殊性改变为不全角化形成，角质栓塞和推进缘。患者术后无复发。结论 喉疣状癌保守性手术为主。诊断依赖病理学发现，临床上易误诊。

Clinical and Pathological Analysis of Laryngeal Verrucous Cancer(Report of 5 Cases)

Objective To investiged the therapy of verrucous laryngeal cancer. Methods 5 patients with verrucous laryngeal cancer were treated surgically in our department during 1993 to 1998. Among them, 4 cases underwent vertical hemilaryngectomy and one with neoplasm excision followed cauterization. The pathological characteristics of the patients were reviewed. Results All patients were decannulated successfully and all resumed normal swallowing function. Speech was good in all patients. After 2~7 years follow|up, all patients remained tumor free. Conclusion Metastasis is not occurred in verrucous laryngeal cancer. Conservation surgery is the main treatment for the verrucous laryngeal cancer. Radiotherapy shall be avoided.;