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患者男,63岁,因声嘶2年,加重半年于1994年11月2日入院。患者有长期吸烟史,查体见左侧声带边缘充血,吸气时左侧声门下可见灰白色新生物,表面尚光滑,双侧声带活动对称,闭合差,杓区、室带、喉室均未见异常,入院诊断为左声门下肿物,性质待查。行纤维喉镜检查,示左侧声带稍肿胀,左声带下缘至环状软骨处可见新生物,水肿样改变,表面光滑,行多点活检病理报告为内翻性乳头状瘤。喉部MRI检查示左侧声带明显增厚,有16mm×18mm×20mm大、形态不规则的肿块,突入声门裂及声门下区,肿块呈等T_1稍长T_2信号改变(与肌肉信号比),左侧甲状软骨及杓状软骨较模糊,提示可疑骨质破坏,喉外无明显侵犯征象。根据病检报告及喉部MRI结果于1994年11月17日在全麻下行气管切开加
Male patient, age 63, was hospitalized for hoarseness for two years due to an increase of six months on November 2, 1994. Patients with long-term smoking history, check the body to see the left vocal cord edge congestion, inspiratory left glottic seen gray new creatures, the surface is still smooth, bilateral vocal fold activity symmetry, closed poor, scoop area, ventricular band, See abnormalities, admitted to the hospital for the diagnosis of left subglottic tumor, nature to be investigated. Line fiberoptic laryngoscopy, showed a slight swelling of the left vocal cord, the left vocal cord to the edge of the annular cartilage can be seen at new organisms, edema-like changes, the surface smooth, multi-point biopsy pathology report of inverted papilloma. Throat MRI showed thickening of the left vocal cord, with 16mm × 18mm × 20mm, irregular shape of the mass, broke into the glottis and subglottic area, the tumor was T_1 slightly longer T_2 signal changes (compared with the muscle signal) , The left thyroid cartilage and arytenoid cartilage more fuzzy, suggesting suspicious bone destruction, no obvious signs of violations outside the larynx. Tracheotomy plus tracheotomy was performed on general anesthesia on November 17, 1994, based on the disease test report and laryngeal MRI findings