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喉纤维上皮性息肉1例并文献复习
引用本文:范凤霞,邹龙权,高珊. 喉纤维上皮性息肉1例并文献复习[J]. 中国耳鼻咽喉颅底外科杂志, 2021, 27(5): 543-546
作者姓名:范凤霞  邹龙权  高珊
作者单位:自贡市第四人民医院 耳鼻咽喉头颈外科, 四川 自贡 643000;自贡市第四人民医院 病理科, 四川 自贡 643000
基金项目:自贡市科技局2019年第三批重点科技计划项目(2019ZC17)。
摘    要:目的 探讨喉纤维上皮性息肉(FEP)病因、临床特征、诊断、鉴别诊断,提高对头颈部FEP的认识。方法 回顾性分析1例原发于喉的FEP患者的临床资料,结合文献复习总结FEP的临床诊断治疗经验。该患者先行气管切开解除气道梗阻并行喉肿物活检,病理示FEP后再次支撑喉镜下等离子行喉FEP完整切除。结果 患者术后恢复好,成功拔除气套管,随访1年未见复发及恶变。结论 喉FEP为来源于中胚层的良性肿瘤,临床罕见,治疗以手术完整切除为主,预后良好,不易恶变。

关 键 词:  纤维上皮性息肉  诊断  治疗
收稿时间:2021-05-26

Fibroepithelial polyp of larynx: a case report with literature review
FAN Fengxi,ZOU Longquan,GAO Shan. Fibroepithelial polyp of larynx: a case report with literature review[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2021, 27(5): 543-546
Authors:FAN Fengxi  ZOU Longquan  GAO Shan
Affiliation:Department of Otolaryngology Head and Neck Surgery, Zigong Fourth People''s Hospital, Zigong 643000, China;Department of Pathology, Zigong Fourth People''s Hospital, Zigong 643000, China
Abstract:Objective To investigate the etiology, clinical characteristics, diagnosis and differential diagnosis of fibroepithelial polyps of larynx, so as to improve the understanding of this disease. Methods Clinical data of a patient with fibroepithelial polyp of larynx were analyzed retrospectively,and the clinical experience of diagnosis and treatment of fibroepithelial polyp was summarized through literature review. In this patient, airway obstruction was initially relieved by tracheotomy and laryngeal tumor biopsy was performed. And then plasma resection of the fibroepithelial polyp was performed under self-retaining laryngoscope in the second stage after pathological confirmation of fibroepithelial polyp. Results The patient recovered well after surgery and the trachea cannula was removed successfully. Follow-up for one year revealed neither recurrence nor malignant change. Conclusions Fibroepithelial polyp of larynx is a benign tumor originated from mesoderm, which is rare in clinic. The main treatment is complete surgical resection with good prognosis.
Keywords:Larynx  Fibroepithelial polyp  Diagnosis  Treatment
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