1病例报告患者,男,70岁,因吞咽痛5年,加重10个月入院。电子喉镜示:会厌喉面右侧粗糙不平隆起,向下达会厌结节及右侧室带上方,会厌抬举良好,双侧声带表面光滑,运动良好,双侧披裂运动良好,梨状窝清洁。见图1。门诊病理检查回报:会厌喉面低分化癌,伴腺样分化。免疫组织化学检测示:CK(+),CK5/6(-),p63(-),CK7(+),CK20(-)。颈部彩超:甲状腺内多发结节,双侧上 A case report patients, male, 70 years old, swallowing pain for 5 years, increased 10 months admitted to hospital. Electronic laryngoscopy shows: epiglottis rough right side of the throat bump up, down to the epiglottis nodules and right side of the room with a good epiglottis lift good, bilateral vocal cords smooth surface, good movement, bilateral good splitting movement, pear-shaped nest clean. see picture 1. Outpatient pathological examination returns: epiglottis laryngeal poorly differentiated cancer, with adenoid differentiation. Immunohistochemistry showed: CK (+), CK5 / 6 (-), p63 (-), CK7 (+), CK20 (-). Neck ultrasound: multiple thyroid nodules, on both sides