Laryngeal carcinoma

喉癌
  • 文章类型: Case Reports
    喉神经内分泌癌是喉部最常见的非鳞状肿瘤。由于肿瘤的稀有性,病理诊断应通过免疫组织化学证实。
    喉神经内分泌癌(LNEC)是一种罕见的头颈部癌症。文献中很少有起源于声门下喉的低分化神经内分泌癌的病例报道。在这种情况下,我们讨论了一名57岁的患者,有四个月的声音嘶哑病史,新诊断为声门下喉低分化神经内分泌癌。各个NEC组的治疗和预后不同,因此,精确的识别需要考虑显微镜发现和免疫染色分析。免疫组织化学染色显示细胞角蛋白7,突触素,嗜铬粒蛋白,CD56,Ki-67指数为45%。虽然手术通常是所有肿瘤类型的治疗方法,由于手术无效,低分化的NECs推荐化疗放疗。
    UNASSIGNED: Laryngeal neuroendocrine carcinomas are the most common non-squamous neoplasm of the larynx. Due to the rarity of the tumor, pathological diagnosis should be confirmed by immunohistochemistry.
    UNASSIGNED: Laryngeal neuroendocrine carcinomas (LNECs) are a rare cancer of the head and neck. Few case reports of poorly differentiated neuroendocrine carcinoma originating in the subglottic larynx exist within the literature. In this case, we discuss a 57-year-old patient with a history of four-month hoarseness with a newly diagnosed of poorly differentiated neuroendocrine carcinoma in the subglottic larynx. Treatment and prognosis of the various NEC groups differ, so precise identification requires consideration of the microscopic findings and immunostaining analysis. immunohistochemistry staining demonstrated positive result for cytokeratin 7, synaptophysin, chromogranin, CD 56, with the Ki-67 index of45%. Although surgery is usually the treatment for all tumor types, chemo radiotherapy is recommended for poorly differentiated NECs because surgery is ineffective.
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  • 文章类型: Case Reports
    A case of laryngeal cancer complicated with Hodgkin\'s lymphoma treated in the Department of Otolaryngology Head and neck surgery of the First Hospital of Jilin University was reported. Under general anesthesia, right vertical partial laryngectomy, bilateral neck lymph node functional dissection and temporary tracheotomy were performed. No recurrence was found in laryngoscope and color Doppler ultrasound of neck lymph nodes 3 and 5 months after operation.
    摘要: 本文报道了1例吉林大学第一医院耳鼻咽喉头颈外科收治的喉癌合并霍奇金淋巴瘤患者,全身麻醉下行右侧垂直半喉切除术、双侧颈部淋巴结功能性清扫术、暂时性气管切开术。术后3、5个月复查电子喉镜及颈部淋巴结彩超未见复发。.
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  • 文章类型: Journal Article
    在北非,喉癌仍然是主要的男性病理学。在许多国家,男女之间的差距正在缩小。这项研究旨在检查流行病学,临床,治疗性的,并对23例女性喉癌患者进行了随访。
    卡萨布兰卡8月20日医院头颈外科23例原发性喉癌患者的病历,2012年1月至2016年9月,进行了回顾。人口统计,临床,内窥镜,放射学,外科,并收集随访数据。
    所有接受LC治疗的患者中有7%是女性,受影响最大的年龄组是60至79岁(52%),52%无主要危险因素,所有患者都有表皮样癌,48%的患者有T2肿瘤。T1、T3和T4a分别为17%,22%,和13%。43%的病例中出现N1(n=10),35%(n=8),N2b占17%(n=4),4%的N2c(n=1)。所有患者均为M0。这一系列的患者都接受了手术治疗。在5年,生存率为83%。
    由于已发表研究中女性的比例有限,关于喉癌的性别差异仍有许多争议。因此,进一步的研究应寻求对女性喉癌的相关因素有更清晰的认识,以采取更适当的预防和早期诊断措施。
    UNASSIGNED: In north Africa, laryngeal carcinomas remain a predominately male pathology. While in many countries the gap between men and women is narrowing. This study aimed to examine the epidemiological, clinical, therapeutic, and follow up data of a case series of 23 female patients treated for laryngeal carcinoma.
    UNASSIGNED: Medical records of a case series of 23 patients for primary carcinoma of the larynx at the Department of Head and Neck Surgery of the 20 August Hospital of Casablanca, between January 2012 and September 2016, were reviewed. Demographic, clinical, endoscopic, radiological, surgical, and follow-up data were collected.
    UNASSIGNED: 7% of all the patients treated for LC were women, The most affected age group was between 60 and 79 years (52%), 52% had no major risk factor, all patients had an epidermoid carcinoma, 48% of patients had T2 tumors. T1, T3, and T4a were found in respectively 17%, 22%, and 13%. N1 in 43% of the cases (n = 10), N0 in 35% (n = 8), N2b in 17% (n = 4), N2c in 4% (n = 1). All patients were M0. All the patients in this series have undergone surgical treatment. At 5 years, the survival rate was 83%.
    UNASSIGNED: Since the proportions of women in published studies are limited, there are still many controversies about gender differences in laryngeal cancer. Therefore, further studies should seek a clearer understanding of factors involved in female laryngeal cancer to adopt more appropriately the measures of prevention and early diagnosis.
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  • 文章类型: Case Reports
    喉切除术是肿瘤外科医生的常见手术,但是潜在的颈动脉损害是麻醉师严重关注的问题,使这个常规程序成为高风险程序。手术要求麻醉师保持高度警惕,以防止偏瘫等疾病。偏瘫,或由于颈动脉机械阻塞继发的灌注不足而可能发生的言语异常。因此,未确诊的颈动脉阻塞病例可能会给患者带来灾难性的后果,外科医生,还有麻醉师.因此,必须尽职尽责地进行所有术前调查。我们介绍了一名74岁的男性,他被我们的喉癌手术所接受。患者在六个月前接受了放化疗(CRT)。他抱怨声音嘶哑,颈部肿块无痛。他是14年来已知的高血压患者,由口服药物控制,五年前有中风史,当他还被诊断为右颈总动脉(CCA)完全阻塞和左颈总动脉部分阻塞时。
    Laryngectomy is a common surgery for an oncosurgeon, but underlying carotid compromise is a serious concern for anesthesiologists, making this routine procedure a high-risk one. The utmost vigilance of the anesthesiologist is demanded by the surgery to prevent morbidities such as hemiplegia, hemiparesis, or speech abnormalities that may occur due to perfusion insufficiency secondary to the mechanical blockage of the carotid arteries. Hence, an undiagnosed case of carotid artery block may result in disastrous consequences for the patient, surgeon, and anesthesiologist. Hence, it is imperative to perform all the pre-operative investigations with due diligence. We present the case of a 74-year-old male who was admitted to our set-up for laryngeal carcinoma surgery. The patient had received chemoradiotherapy (CRT) six months earlier. He complained of hoarseness in his voice and a painless neck mass. He was a known case of hypertension for 14 years, controlled by oral medication, and had a history of stroke five years ago, when he was also diagnosed with a completely blocked right common carotid artery (CCA) and a partially blocked left common carotid artery.
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  • 文章类型: Case Reports
    由于艾滋病毒感染率上升,喉结核的发病率稳步上升,免疫抑制疾病和治疗,以及多重耐药生物和非典型分枝杆菌的出现。我们报告了一名模仿淋巴瘤的喉结核的独特表现,以提醒临床医生喉结核的诊断值得认识,并且由于延迟治疗和进一步的并发症,延迟诊断对患者构成了严重威胁。
    The incidence of laryngeal tuberculosis has steadily increased due to rising prevalence of HIV infection, immunosuppressive diseases and treatments, and the emergence of multidrug-resistant organisms and atypical mycobacteria. We report on a woman with a unique presentation of laryngeal tuberculosis mimicking lymphoma to remind clinicians that the diagnosis of laryngeal tuberculosis merits awareness and that delay in diagnosis poses a serious threat to the patient due to delayed treatment and further complications.
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  • 文章类型: Case Reports
    Acute airway obstruction caused by invasive laryngeal cancer can make surgeons reluctant to perform a high-risk tracheostomy, which is life-saving for such patients. In the setting of the current COVID19 pandemic, we present a case of severe transglottic stenosis due to stage IV laryngeal carcinoma, in which gaseous exchange was facilitated by venovenous (VV) extracorporeal membrane oxygenation prior to emergent tracheostomy. The VV technique can ensure adequate oxygenation and CO2 removal. Venovenous extracorporeal membrane oxygenation provided sufficient time for surgical planning and preparation. It reduced the formation of aerosol, lowered the risk associated with life-saving tracheostomy, and protected the patient from ischemia.
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  • 文章类型: Case Reports
    一名75岁的男性患者因声音嘶哑而住院2个月。喉镜示右侧喉腔内肿块突出,覆盖右侧声带中部。由于肿瘤活检显示低分化癌,他接受了全喉切除术,术后病理结果发现复合癌,其中含有中分化鳞状细胞癌(约5%)和低分化神经内分泌癌(约95%)。肿瘤生长状态提示为碰撞癌。术后常规放疗后,随访6个月时无复发.头颈部碰撞癌的发病率相当低,大部分发生在甲状腺,这在喉部很罕见.喉碰撞癌的确诊依据是术后病理研究。碰撞癌的治疗选择与病理成分密切相关,疾病的位置和是否有远处转移。
    A 75-year-old male patient was hospitalized in hoarseness for 2 months. Laryngoscopy showed a mass protruding in right laryngeal chamber and covering the middle part of right vocal cord. Since tumor biopsy showed low differentiation cancer, he received total laryngectomy, and post-operative pathological result found composite carcinoma, which containing medium differentiated squamous cell carcinoma (about 5%) and low differentiated neuroendocrine carcinoma (about 95%). The growth status of tumor indicated it was collision carcinoma. After postoperative regular radiotherapy, no recurrence was found at 6 months of follow-up. The incidence of head and neck collision carcinoma is quite low, and the majority of them occurs in thyroid, which is rare in larynx. The confirmed diagnosis of larynx collision carcinoma is based on postoperative pathological study. The choice of treatment for collision cancer is closely related to the pathological components, the location of the disease and whether there is distant metastasis.
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    文章类型: Case Reports
    UNASSIGNED: Carcinoma of the larynx is an extremely uncommon clinical entity in pediatric age. The diagnosis of the laryngeal carcinoma is often delayed due to the low index of suspicion. The factors contributing to delayed diagnosis include the similarity of its symptoms to common benign lesions of the larynx in childhood and difficult examination of the larynx in pediatric patients. The treatment of laryngeal carcinoma is still a challenge due to the lack of available guidelines among pediatric patients.
    UNASSIGNED: An 11-year-old male presented with hoarseness of voice over the last 3 month and was diagnosed with laryngeal carcinoma based on the fiberoptic nasopharyngolaryngoscopy examinations and biopsy. He was treated with a complete course of radiotherapy.
    UNASSIGNED: This case is reported due to the paucity of the laryngeal carcinoma cases among pediatric patients in medical literature. The obtained results will create awareness among clinician to rule out laryngeal carcinoma in pediatric patients with laryngeal symptoms, such as the hoarseness of voice which will help early diagnosis and treatment.
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