背景:癌症破坏了患者生活的各个方面。近几十年来,癌症治疗模式发生了重大转变,重点是生活质量和患者舒适度。患者接受全面治疗,考虑到癌症的多面性,这是一项复杂的任务。声音,患者健康的一个微妙指标通常受到恶性肿瘤的影响。声音被非喉癌干扰的各种方式之一是通过转移到喉部和邻近区域。喉部的转移很少见,但有据可查。如果没有及时诊断,从危及生命的气道阻塞到进行性发声障碍,对患者的生活质量造成破坏性后果.喉转移性病变通常出现在粘膜下,粘膜完整覆盖,最常见于声门上。诊断通常需要深度活检,和管理可能需要内窥镜切除或其他治疗。
目的:本文回顾了文献,以确定世界上最常见的十种癌症的喉转移病变的典型特征。ie,皮肤,肾,乳房,结直肠,肺,前列腺,甲状腺和肝脏。通过总结它们在喉部最常见的位置,类型和外观,作者希望在他们的诊断过程中帮助医生,特别是在喉部受累是恶性肿瘤的第一个表现的病例中。
BACKGROUND: Cancer ravages all aspects of a patient\'s life. In recent decades, there has been a substantial paradigm shift in the treatment of cancer with an emphasis on quality of life and patient comfort. Patients are treated holistically, a complex task given how multifaceted cancers are. Voice, a subtle indicator of patients\' well-being is affected commonly by malignancies. One of the various ways by which voice is disturbed by non-laryngeal cancers is through metastasis to the larynx and adjacent areas. Metastasis to the larynx is rare but well-documented. If not diagnosed in a timely fashion, it can have devastating consequences on patients from life-threatening airway obstruction to progressive dysphonia that erodes their quality of life. Metastatic lesions of the larynx usually appear submucosal with intact overlying mucosa and are located most commonly in the supraglottis. Deep biopsies usually are needed for diagnosis, and management may entail endoscopic resection or other treatments.
OBJECTIVE: This paper reviews the literature to identify typical features of laryngeal metastatic lesions of the ten cancers that are among the most common worldwide, ie, skin, renal, breast, colorectal, lung, prostate, thyroid and liver. By summarizing their most prevalent locations in the larynx, type and appearance, the authors hope to aid physicians in their diagnostic process, particularly in cases in which laryngeal involvement is the first presenting sign of a malignancy.