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据文献记载,喉肉瘤的发病率小于喉癌的1%。本文报告了于1934~1980年间4717喉部癌瘤中的8例喉纤维肉瘤和2例横纹肌肉瘤的临床及病理所见。 8例纤维肉瘤的年龄为8~60岁,女3例、男5例。主诉声嘶、呼吸困难和喉痛,症状持续时间平均为9个月。检查多数呈类息肉样的淡红色肿块,宽基,并被覆上皮;大多固定,有一例已扩展入甲状腺。其生长部位主要在声带、室皱襞、杓区和会厌区,无颈部转移。其组织病理与身体其他部位的纤维肉瘤相同,8例中有细胞分化良好型3例,中度分化2例和低分化3例。8例中仅3例的随访资料可用,其中1例侵犯右侧
According to the literature, the incidence of laryngeal sarcoma is less than 1% of laryngeal cancer. This article reports the clinical and pathological findings of 8 cases of laryngeal fibrosarcoma and 2 cases of rhabdomyosarcoma in 4717 laryngeal carcinomas from 1934 to 1980. Eight cases of fibrosarcoma aged 8 to 60 years old, 3 females and 5 males. The main complaint was hoarseness, dyspnea, and sore throat. The average duration of symptoms was 9 months. The majority of the lesions were pale pink masses that resembled polypoids, broad base, and covered with epithelium; most were fixed, and one case had expanded into the thyroid gland. Its growth site is mainly in the vocal cords, ventricular folds, hernia areas and epiglottis areas, without neck metastasis. The histopathology was the same as that of other parts of the body, with 8 cases of well-differentiated cells, 2 moderately differentiated and 3 poorly differentiated. Follow-up data was available only in 3 out of 8 cases, of which 1 was infringed on the right