-
摘要: 声门下区病变非常罕见,总结我院2017至2022年5例声门下新生物的临床资料,分析其临床表现、辅助检查表现、治疗方案、病理特征。5例患者中,1例为声门下多形性腺瘤,1例为声门下肉芽肿,1例为声门下乳腺癌转移,1例为声门下原发的腺样囊性癌,1例为免疫球蛋白G4相关疾病,随访至今均无复发。声门下区占位容易漏诊,怀疑该区病变时,应进行系统耳鼻喉检查,早期发现病变,改善预后。Abstract: Subglottic masses is very rare. The clinical data of five cases of subglottic mass in our hospital from 2017 to 2022 were summarized, and their clinical manifestations, auxiliary examination findings, treatment plan and pathological features were analyzed. Among the 5 patients, 1 case was subglottic pleomorphic adenoma, 1 case was subglottic granuloma, 1 case was subglottic breast cancer metastasis, 1 case was subglottic primary adenoid cystic carcinoma, and 1 case was immunoglobulin G4-related disease. No recurrence was observed in the patients so far. Subglottic mass is easy to be missed. Therefore, when the lesion is suspected in this area, the examination of ear, nose and throat should be carried out systematically to detect the lesion early and improve the prognosis.
-
Key words:
- laryngeal carcinoma /
- subglottis, mass /
- metastatic carcinoma /
- treatment
-
-
[1] Coskun H, Mendenhall WM, Rinaldo A, et al. Prognosis of subglottic carcinoma: Is it really worse?[J]. Head Neck, 2019, 41(2): 511-521. doi: 10.1002/hed.25172
[2] Yang F, He L, Rao Y, et al. Survival analysis of patients with subglottic squamous cell carcinoma based on the SEER database[J]. Braz J Otorhinolaryngol, 2022, 88 Suppl 4(Suppl 4): S70-S80.
[3] Jumaily M, Gallogly JA, Gropler MC, et al. Does Subglottic Squamous Cell Carcinoma Warrant a Different Strategy Than Other Laryngeal Subsites?[J]. Laryngoscope, 2021, 131(4): E1117-E1124.
[4] Ferlito A, Rinaldo A. The pathology and management of subglottic cancer[J]. Eur Arch Otorhinolaryngol, 2000, 257(3): 168-173. doi: 10.1007/s004050050217
[5] Barnes L. Metastases to the head and neck: an overview[J]. Head Neck Pathol, 2009, 3(3): 217-224. doi: 10.1007/s12105-009-0123-4
[6] Whicker JH, Carder GA, Devine KD. Metastasis to the larynx: Report of a case and review of the literature[J]. Archives of Otolaryngology, 1972, 96: 182-184. doi: 10.1001/archotol.1972.00770090256021
[7] MacNeil SD, Patel K, Liu K, et al. Survival of patients with subglottic squamous cell carcinoma[J]. Curr Oncol, 2018, 25(6): e569-e575. doi: 10.3747/co.25.3864
[8] Lionello M, Canal F, Presotto F, et al. Laryngeal adenoid cystic carcinoma: Radical or conservative surgery?[J]. Am J Otolaryngol, 2021, 42(4): 102974. doi: 10.1016/j.amjoto.2021.102974
[9] Marchiano E, Chin OY, Fang CH, et al. Laryngeal Adenoid Cystic Carcinoma: A Systematic Review[J]. Otolaryngol Head Neck Surg, 2016, 154(3): 433-439. doi: 10.1177/0194599815621884
[10] 闫燕, 王丽, 柯嘉, 等. 非鳞状细胞来源声门下区肿物的诊断与治疗[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(3): 182-185. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.1001-1781.2014.03.011
[11] 刘薇, 张杰, 唐力行. 儿童声门下区肿物诊治方法的探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(3): 252-254. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.1001-1781.2015.03.016
[12] Wallace ZS, Perugino C, Matza M, et al. Immunoglobulin G4-related Disease[J]. Clin Chest Med, 2019, 40(3): 583-597. doi: 10.1016/j.ccm.2019.05.005
[13] Bach Á, Ambrus A, Iványi B, et al. IgG4-Related Laryngeal Disease as a Possible Cause of Idiopathic Subglottic Stenosis: A Case Report[J]. Iran J Otorhinolaryngol, 2021, 33(115): 119-125.
[14] Mei J, Huang Z, Wu K, et al. Risk Factors of Stomal Recurrence After Laryngectomy: A Systematic Review and Meta-analysis[J]. Ann Otol Rhinol Laryngol, 2017, 126(9): 654-668. doi: 10.1177/0003489417720221
[15] Wang ZY, Li ZQ, Ji H, et al. Influence of risk factors on stomal recurrence after total laryngectomy for laryngeal carcinomas: A meta-analysis[J]. J Cancer Res Ther, 2017, 13(5): 856-861. doi: 10.4103/jcrt.JCRT_90_17
[16] Shapshay SM, Ruah CB, Bohigian RK, et al. Obstructing tumors of the subglottic larynx and cervical trachea: airway management and treatment[J]. Ann Otol Rhinol Laryngol, 1988, 97(5 Pt 1): 487-492.
-