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目的:分析22例表现为光滑新生物的喉恶性肿瘤临床特点,探讨该类疾病的诊断、病理类型及治疗方法。方法:收集22例喉镜下表现为光滑肿物,经病理确诊为恶性或交界性肿瘤患者的临床资料,总结其病理学、治疗、预后等特点。结果:患者男女比例为13∶9。病理结果为上皮及间叶来源恶性肿瘤11例;淋巴造血系统肿瘤7例;交界性肿瘤4例。13例患者接受手术治疗,术后随访未见复发。9例接受放疗和(或)化疗,7例缓解,2例肿瘤进展并见颈淋巴结转移。结论:咽喉部光滑肿物早期缺乏典型临床表现,易被漏诊。早期发现手术治疗预后好,淋巴瘤疗效欠佳。
OBJECTIVE: To analyze the clinical features of 22 cases of laryngeal malignant neoplasm showing smooth neoplasm, and to explore the diagnosis, pathological type and treatment of such diseases. Methods: The clinical data of 22 patients with malignant or borderline tumors who were diagnosed as smooth tumor under the laryngoscope were collected and their pathological features, treatment and prognosis were summarized. Results: The male / female ratio was 13: 9. Pathological findings were epithelial and mesenchymal malignancies in 11 cases, lymphatic hematopoietic tumors in 7 cases and borderline tumors in 4 cases. Thirteen patients underwent surgical treatment and no follow-up was found after surgery. Nine patients received radiotherapy and / or chemotherapy, seven were relieved, two had tumor progression and metastasized to cervical lymph nodes. Conclusion: The early laryngeal smooth tumor is lack of typical clinical manifestations, easily missed. Early detection of surgical treatment of good prognosis, poor efficacy of lymphoma.