喉不典型类癌一例

患者男,67岁.主因咽异物感1个月,加重1周于2008年8月入院.患者入院1个月前无明显诱因出现咽异物感,偶有咽痛,无发热,无声音嘶哑及进食呛咳表现,未做正规检查,近1周以来咽异物感明显加重,偶有痰中带血表现,既往吸烟40年,15支/d.     

喉不典型类癌一例

患者男,67岁.主因咽异物感1个月,加重1周于2008年8月入院.患者入院1个月前无明显诱因出现咽异物感,偶有咽痛,无发热,无声音嘶哑及进食呛咳表现,未做正规检查,近1周以来咽异物感明显加重,偶有痰中带血表现,既往吸烟40年,15支/d.     

喉不典型类癌1例

患者,男,68岁。因喉部疼痛5年、吞咽痛及偶有饮水呛咳5个月于2003年2月11日入院。纤维喉镜检查：喉肿物位于左侧杓会厌襞,侵及室带和会厌,肿物向梨状窝呈球形突出,梨状窝内壁黏膜光滑,双侧声带运动正常。肿瘤活检提示恶性肿瘤,可疑为鳞状细胞癌。颈部未发现肿大淋巴结。胸部x线摄片正常。临床诊断：喉癌,声门上型,     

喉不典型类癌1例

类癌(carcinoid)是一种起源于胃肠道Kultschitzsky细胞的肿瘤.类癌比较少见,占全部恶性肿瘤的0.05%～0.20%,占胃肠道肿瘤的0.4%～1.8%,按国外统计其发病率为1.3/10万~([1]).     

喉不典型类癌伴多发转移一例

喉神经内分泌肿瘤少见，约占喉肿瘤的0．6％，包括典型类癌、不典型类癌、小细胞神经内分泌癌和副神经节瘤。喉不典型类癌具有强侵袭性，区域淋巴及远处转移率高，预后差。我们在工作中遇到1例，现报道如下。     

喉典型类癌1例

<正>1临床资料患者,男,70岁,因咽喉部疼痛4年、声嘶1年于2016年11月27日入院。伴咽喉部异物感,偶有吞咽痛,讲话时含糊,病程中无进食水呛咳及呼吸困难表现,无明显体重减轻等症状,体格检查:颈软无抵抗,气管居中,耳、鼻未见明显异常,颈部及甲状腺彩超无异常。既往吸烟40年,15支/d,未戒烟。纤维喉镜见:会厌喉面近会厌结节处一孤立暗红色肿物,直径约2.0cm,与周围组织分界清晰,呈半球形凸向喉腔,表面光滑,双侧声带、室带前份显示不     

喉部不典型类癌一例

喉部不典型类癌作为喉部神经内分泌癌其中1个亚型,在临床上较为罕见。本文报道了1例珠海市人民医院耳鼻咽喉科收治的69岁男性患者,主诉为咽部异物感2月余,加重伴咳嗽、咽痛2周,完善检查并行病理活检后诊断为喉不典型类癌,舌根部乳头状瘤。全麻下行舌根肿物切除术+全喉切除术+区域性双颈部淋巴清扫术+气管造瘘术,术后行放射治疗,随访1年,患者恢复良好无复发。本文总结其病例特点并通过文献复习,介绍神经内分泌癌的好发部位、临床特点、病理分型及治疗方法。     

喉不典型类癌伴多发转移1例

患者,男,49岁,因咽痛1年余、活动后气促1周于2010年3月31日入院。患者1年前无明显诱因出现咽痛,之后发现左颈部包块且缓慢增大,3个月前出现说话含球音,痰中带血,吞咽痛明显,近1周活动后呼吸困难,一直未治疗。2个月体重下降3kg。     

喉类癌一例

喉类癌一例王展平，李约伯，韩宝龙患者男，５７岁。以“喉异物感，发音低沉中年”于１９９２年２月２４日住院。检查：一般状态好，全身体检无异常，呼吸、吞咽正常。间接喉镜下见会厌喉面根部左侧一肉色肿物，突出部约１．５ｃｍ×１５ｃｍ×１．０ｃｍ，表面光滑，质韧...     

喉类癌一例

类癌是喉部少见肿瘤之一。我科近年收治1例。患者,男,55岁,因渐进性声嘶半年余,伴喉痛2月、痰中带血1月、阵发性憋气2周及呼吸困难6小时急诊入院。在当地医院3次活检,前两次为粘膜组织慢性炎症,第三次为鳞癌Ⅱ级。既往胃溃疡10余年,嗜好烟酒30余年。间接喉镜见会厌喉面肿物突出呈圆球形,灰白色,充满喉前庭遮盖喉腔,声带室带窥不见,颈淋巴结未触及。X线喉平片有软组织团块阴影充满喉腔,大小约4×4cm,界限不清,胸片正常。     

Differentiated posterior cervical liposarcoma with carcinoid: report of a case

Liposarcoma most commonly arises in the retroperitoneum and lower extremities. Liposarcoma of the head and neck region is a rare and potentially life-threatening malignancy. Those originating in the right retrocervical space cause special diagnostic and therapeutic difficulties. In present report, a case of differentiated liposarcoma of the right cervical region with intestinal carcinoid is reported. The tumor continued to grow slowly over 3 years before a definitive diagnosis was established. Extended extirpation of the tumor and modified radical neck dissection, postoperative radiotherapy followed by chemotherapy were performed and proved to be efficacious in that no recurrence was observed for 2 years. Recommendations for earlier and correct diagnosis and treatment of this rare neoplasm are discussed.     

Diagnosis and treatment of a case of benign paroxysmal posture vertigo of the horizontal canal

Ahorizontal canal positional vertigo with apogeotropic and persistent directional changing nystagmus is reported. A new procedure consisting in cervical hiperflexion was used to determine the affected side in order to perform a particle repositioning manoeuvre.     

Laser excision of a typical carcinoid tumor of the larynx: a case report

Neuroendocrine carcinomas of the larynx include a range of rare tumors which have variable biologic behavior, affecting treatment and prognosis. Among these, typical carcinoid tumors are the least common type. Prognosis of typical carcinoid tumor is better than atypical carcinoid tumor and small cell carcinoma of the larynx. Conservation surgery is the preferred treatment modality. Transoral CO2 laser surgery can be a good alternative for appropriate cases because of the functional results and less morbidity. In this article, a 71-year-old female presented with complaints of feeling a mass during swallowing. Fiberoptic examination of the larynx revealed a mass located on the right aryepiglottic fold and biopsy revealed the tumor as a typical carcinoid tumor. We describe CO2 laser excision of a typical carcinoid tumor of the larynx in this case report.     

中耳类癌一例

患者女，43岁，右耳反复流脓伴听力减退5年，2004年11月1日入院。查体：右外耳道几乎完全被一肿物堵塞，其质地柔韧，四周光滑，与外耳道各壁无粘连。表面呈乳头状生长，颈淋巴结无肿大。纯音测听呈重度传导性聋。颞骨CT示右外耳道软组织影，鼓室呈含气腔，听骨链周围见有软组织影，但听骨链及鼓室骨质无破坏，乳突气化好，无炎症表现（图1）。肿物活组织检查为慢性炎症。