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作 者:安慧琴[1] 步桂清[1] 郭明丽[1] 韩晓丽[1]
机构地区:[1]河北省人民医院耳鼻咽喉科,石家庄050051
出 处:《临床耳鼻咽喉头颈外科杂志》2013年第9期492-493,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery
摘 要:1病例报告患者,男,55岁,因间断声音低闷、呼吸不畅1年入院。患者于入院1年前无明显诱因出现声音低沉,呼吸不畅,无咳嗽、咳痰、咳血及声音嘶哑,入院前3~4个月出现吞咽不利,进干食及流食感觉一致,未予注意。因症状持续加重,在当地医院未明确诊断,遂来我院。我院间接喉镜下示:左侧杓会厌皱襞处隆起一巨大肿物,表面光滑,随呼吸活动,声门及左侧梨状窝已被遮盖,右侧杓会厌皱襞光滑,声带不能窥及。Summary A male patient,55 years old, suffered from intermittent sound,voice depression and shortness of breath for one year,and frorn dysphagia for 3-4 months. Through fiber laryngoscopy,we could see tumor in the left posterior aryepiglottic fold. The tumor's surface was smooth. A portion of the tumor protruded to the larynge- al cavity and the aryepiglottic fold external, it also covered most of the glottis. Bilateral vocal cord were smooth and had good mobility. Throat CT demonstrated an irregular soft tissue mass on the left side of the aryepiglottic fold in supraglottic area with obscure normal boundary from adjacent structure. The left side of pyriform sinus be- came shallow without obvious bone destruction. The pathological report showed pleomorphic adenoma. The diag- nosis was laryngeal plecnuorphic adenoma.
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