会厌非典型类癌1例  

A case of epiglottis atypical carcinoid

作　　者：陈海玲 马登殿[2] CHEN Hailing;MA Dengdian(School of Clinical Medicine,Jining Medical University,Jining 272013,China;Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院临床医学院,济宁272013 [2]济宁医学院附属医院,济宁272029

出　　处：《济宁医学院学报》2023年第2期149-152,共4页Journal of Jining Medical University

摘　　要：本文报道1例会厌非典型类癌患者的临床资料。患者男,60岁,因咽喉部不适1年,于2020年11月14日收入我院。自诉咽部伴有疼痛及异物感,吞咽时明显。电子喉镜示:会厌喉面偏右侧可见淡蓝色隆起,会厌谷偏右侧可见表面呈桑葚样隆起。入院后患者于全麻下经口下支撑喉镜行支撑喉镜下会厌肿物切除术,将会厌喉面暗红色肿物以电钩切除送检快速病理。常规病理学报告示石蜡切片:冰冻送检(会厌)神经内分泌肿瘤,结合免疫组化倾向于非典型类癌。后在我院行功能性颈部淋巴结清扫术及会厌切除术,患者及家属拒绝行放化疗,术后随访至今,未见复发。This article reports the clinical data of a patient with an atypical carcinoid tumor of the epiglottis.The patient,a 60-year-old male,was admitted to the Affiliated Hospital of Jining Medical University on November 14,2020,due to discomfort in the pharynx for 1 year.He complained of pain and foreign body sensation in the pharynx,which was obvious when swallowing.E-laryngoscopy on November 14,2020 showed a light blue elevation on the right side of the laryngeal surface of the epiglottis and a mulberry-like elevation on the right side of the valley of the epiglottis.After admission,the patient underwent supported laryngoscopic excision of the epiglottis under general anesthesia,and the dark red mass on the laryngeal surface of the epiglottis was sent for rapid pathology with an electric hook.Conventional pathology report showed paraffin section:Frozen sent for(epiglottis)neuroendocrine tumor,combined with immunohistochemistry tends to be atypical carcinoid tumor.Later functional cervical lymph node dissection and epiglottis resection were performed in our hospital.The patient and his family refused radiotherapy,and no recurrence was seen in the postoperative follow-up until now.

关 键 词：非典型类癌 神经内分泌癌 会厌 治疗 预后 

分 类 号：R767[医药卫生—耳鼻咽喉科]