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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。
Carcinoid is one of the rare tumors in the throat. Our department has received one case in recent years. The patient, male, 55 years old, was hospitalized with emergency hoarseness for more than six months, accompanied by sore throat in February, blood in the sputum in 1 month, epilepsy in hernia for 2 weeks, and dyspnea in 6 hours. At the local hospital three biopsies, the first two were chronic inflammation of mucosal tissue and the third was squamous cell carcinoma grade II. Past gastric ulcer for more than 10 years, hobbies of tobacco and alcohol more than 30 years. Indirect laryngoscope see epiglottis laryngeal mass protruding spherical, gray-white, full of throat to cover the throat, vocal cords with peeping, cervical lymph nodes not touched. The X-ray plain laryngeal film has a soft tissue mass shadow filling the laryngeal cavity, the size of about 4 × 4cm, the boundary is unclear, and the chest radiograph is normal.