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梭形细胞癌系上呼吸道罕见肿瘤,主要发生于喉及咽部。本病有多种命名如假性肉瘤、多形性癌、癌肉瘤和梭形细胞癌等,这反映了对肿瘤的组织学模式以及梭形细胞的起源有不同的解释。近年来,电镜之应用对于阐明梭形细胞瘤的组织发生具有很大的促进作用。作者报告一例患者,男性,50岁。主诉为间歇性声嘶6个月,每日吸半盒香烟已30年。间接喉镜检查见左声带充血、增厚。直接喉镜检查发现组织柔软,无浸润,无孤立性肿瘤生长。数次
Spindle cell carcinoma is a rare tumor of the upper respiratory tract that mainly occurs in the larynx and pharynx. The disease has a variety of nomenclatures such as pseudo-sarcoma, pleomorphic carcinoma, carcinosarcoma, and spindle cell carcinoma, reflecting the different interpretations of the histological patterns of tumors and the origin of spindle cells. In recent years, the application of electron microscopy has played a significant role in elucidating the organization of spindle cell tumors. The author reported one patient, male, 50 years old. The chief complaint was intermittent hoarseness for 6 months. He has been smoking half a pack of cigarettes for 30 years. Indirect laryngoscopy showed hyperemia and thickening of the left vocal cord. Direct laryngoscopy revealed a soft tissue with no infiltration and no isolated tumor growth. Several times