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患者,男,72岁。因声嘶10年,加重伴憋闷半年于2014年1月入院。10年前无诱因出现声嘶,时轻时重,无咽喉疼痛,无憋闷及呼吸困难。在当地医院诊断为气管炎,予口服中草药治疗,无明显疗效。半年前声嘶加重,伴咽喉堵塞感。安静时略感呼吸费力、憋闷,痰不易咳出,活动后加重。几天前出现饮水呛咳。电子喉镜检查(图1):左侧软腭背面、咽侧壁近后鼻孔区域粉红色分叶状巨大肿物。起始沿鼻咽、咽侧后壁向下向内生长,延伸至
Patient, male, 72 years old. Due to hoarseness 10 years, aggravating with feeling oppressed for six months in January 2014 admitted to hospital. 10 years ago, there was no incentive for hoarseness, when light weight, no sore throat, no feeling of suffocation and breathing difficulties. In the local hospital diagnosed as bronchitis, oral Chinese herbal medicine treatment, no significant effect. Hissing six months ago, with throat blockage. Slight feeling of breathing quiet, feel oppressed, sputum is not easy to cough, increase after the activity. A few days ago, drinking cough. Electronic laryngoscopy (Figure 1): left soft palate on the back, near the pharyngeal nostril area lobular pink large tumor. Beginning along the nasopharynx, pharyngeal back wall inward downward growth, extending to