患者男,67岁。因颈部包块,进行性声嘶6~+月人院。查体。右颈部触及约5×6×8cm融合性包块,质硬、不活动、无触痛。左颈部2×3×3cm包块,质稍软、可活动,边界不清。CT:会厌癌,双颈部淋巴结肿大(内有坏死)。行支镜:会厌喉面靠近前联合处有一球状新生物,直径约1.5cm左右,病变累及侧部及室带及喉室。病检:喉部中分化鳞状上皮细胞癌伴炎性坏死。 Patient male, 67 years old. Due to neck mass, progressive hoarseness 6 ~ + month hospital. Physical examination. Right neck touched about 5 × 6 × 8cm fusion mass, hard, inactive, no tenderness. Left neck 2 × 3 × 3cm mass, slightly softer, can move, the border is unclear. CT: epiglottic cancer, double-neck lymph nodes (with necrosis). Bronchoscopy: epiglottis larynx near the former joint has a spherical new creatures, about 1.5cm in diameter, lesion involving the lateral and ventricular band and the throat. Disease examination: Differentiated squamous cell carcinoma of the larynx with inflammatory necrosis.