作者回顾了1944年初～1982年底经治的18例喉小涎腺癌病例。18例中,腺样囊性癌8例,低分化腺癌 10例。男14例,女4例。平素有吸烟嗜好者11例。腺样囊性癌平均年龄61.5岁。腺癌60岁。18例中,声门上癌14例,声门下癌4例,无单纯声门癌。肉眼观察,均为粘膜下肿块。声门上癌主要表现为声嘶,咽下困难,咽痛。声门下癌则多数表现为呼吸道受累症状。18例的症状持续时间各异,但以晚期病例居多。腺癌中7例有明显颈部结节病变,腺样囊性癌中3例有颈部结节。11例接受手术治疗,多数为全喉切除术加改良或根治性颈廓清术,2例为部分喉切除术。2例单用放疗,5例手术加术前或术后放疗。初次复发后腺样囊性癌患者平均生存期为38.4月,腺癌12.1月。仅腺样 The authors reviewed 18 cases of laryngeal adenocarcinoma that were treated in the early 1944 to the end of 1982. In 18 cases, there were 8 adenoid cystic carcinomas and 10 poorly differentiated adenocarcinomas. There were 14 males and 4 females. There were 11 smoking habits. The average age of adenoid cystic carcinoma is 61.5 years. Adenocarcinoma is 60 years old. In 18 cases, there were 14 cases of supraglottic carcinoma and 4 cases of subglottic carcinoma. There was no simple glottic carcinoma. Visual observations were submucosal masses. The main manifestations of cancer on the glottis are hoarseness, difficulty swallowing, and sore throat. The majority of subglottic cancer manifested as symptoms of respiratory tract involvement. Symptoms of 18 cases varied in duration, but were mostly in advanced cases. 7 cases of adenocarcinoma showed obvious cervical nodular lesions, and 3 cases of adenoid cystic carcinoma had neck nodules. Eleven patients underwent surgical treatment, most of them were total laryngectomy plus modified or radical neck dissection, and 2 were partial laryngectomy. Two patients received radiotherapy alone, and five patients received surgery plus preoperative or postoperative radiotherapy. The average survival of patients with adenoid cystic carcinoma after initial relapse was 38.4 months, and adenocarcinoma was 12.1 months. Adenoid only