头颈部癌肉瘤3例

王建伟; 贾传亮; 张华; 宋西成

doi:10.13201/j.issn.1001-1781.2019.12.024

头颈部癌肉瘤3例

- 青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科(山东烟台, 264000)

详细信息

通讯作者: 宋西成,E-mail:songxicheng@126.com

中图分类号: R739.91

收稿日期: 2018-10-09

Three cases of head and neck carcinosarcoma

More Information

Corresponding author: , E-mail: songxicheng@126.com

Received Date: 09 October 2018

摘要

摘要: 1病例报告例1,男,71岁,因憋气3h于2018年3月12日入院。患者入院前3h出现憋气,呈吸气性呼吸困难,急诊气管切开缓解憋气症状。纤维喉镜示声门区尚光滑新生物,左侧披裂固定（图1a）;颈部增强MR见肿物强化不均匀（图1b）,结合PET-CT考虑恶性肿瘤;病理活检示喉鳞状细胞癌。结合术中病理给予扩大喉全切+双侧Ⅱ～Ⅴ区颈部淋巴结清扫+术后放疗（30次,60Gy/次）。术后病理符合癌肉瘤,呈中分化鳞状细胞癌。免疫组织化学:CK（部分+）,Vim（部分+）。随访9个月无复发,现持续随访中。
- 头颈部肿瘤 /
- 肉瘤 /
- 外科手术
Abstract: Head and neck carcinosarcoma leads to kinds of manifestations because of different original tumor sites, such as hoarseness and dyspnea in larynx, pharyngalgia and dysphagia in pharynx and compression in neck. Imaging examinations show specific occupying tumor sites and sometimes discover peripheral invasion. Pathological examination reveals both malignant squamous epithelium and interstitial tissue in these tumors,and therefore we diagnose these tumors as carcinosarcoma.
- head and neck neoplasms /
- sarcoma /
- surgical procedures

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参考文献(10)

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