患者女性,71岁,1973年2月28日住院。主诉进行性音哑一年,抗炎治疗无效。检查,悬雍垂背面可见1×1×0.8cm黄白色肿物,表面欠光滑。间接喉镜,喉粘膜充血,左侧喉室及假声带均有黄白色肿物,遮盖左侧声带,两侧披裂会厌皱壁充血水肿。颈部未及肿大淋巴结。先后四次活检,将肿物大部咬除。病理组织学检查,粘膜上皮结构完整,粘膜下可见成团无结构淡粉染的淀粉样物,刚果红染色阳性。诊断淀粉样瘤。经肾上腺皮质激素治疗声嘶好转出院。1982年因卧位时憋气,活动后加重, The female patient, 71 years old, was hospitalized on February 28, 1973. The chief complaint was progressively muted for one year and the anti-inflammatory treatment was ineffective. Upon examination, a white, white, 1×1×0.8 cm tumor was visible on the posterior aspect of the sacral sulcus and the surface was less smooth. Indirect laryngoscopy, laryngeal mucosal hyperemia, left and right larynx and false vocal cords all had yellow-white masses covering the left side of the vocal cords, epithelial edema and edema on both sides. No enlarged lymph nodes in the neck. Four biopsies were performed to remove most of the mass. Histopathological examination revealed that the mucosal epithelium was structurally intact and amyloid that was stained with agglomerates without structure was observed under the mucosa. Congo red stained positive. Diagnosis of amyloid tumors. The treatment of hoarseness with corticosteroids was improved and discharged. In 1982, he was paralyzed due to supine position and became more serious after the activity.