摘要
目的探讨下咽部脂肪肉瘤的临床特点、诊断、治疗及预后。方法文献复习咽喉部高分化脂肪肉瘤并报告1例65岁主诉恶心时口腔内阵发性肿物外露20年的下咽部带蒂高分化脂肪肉瘤男性患者,行硬性食管镜加支撑喉镜联合鼻内镜检查,发现肿瘤蒂部在左侧梨状窝内侧壁,借助超声刀在肿瘤蒂部完成微创切除。结果内镜微创手术完整切除肿瘤,随访12个月,患者吞咽和呼吸顺利,无复发表现。结论下咽脂肪肉瘤为一种临床罕见低度恶性肿瘤,术前诊断困难,可考虑行内镜微创手术切除为主的治疗并密切随访。提高临床医师对该病的认识对治疗该病具有重要意义。
Objective To investigate the clinical character,diagnosis and treatment for hypopharyngeal liposarcoma.Methods To review the literature of well-differentiated liposarcoma at the hypopharynx region.A 65 years-old male case with an episode of exteriorization of a solid mass from the mouth during an episode of vomiting for 20 years was reported.Esophagoscopy plus self-retaining laryngoscopy with the aid of nasal endoscopy was performed.The pedicle was found in the inner wall of the left pyriform sinus and the tumor was resected by Harmonic ACE scalpel in a mini-invasive way.Results The tumor was totally resected in an en-bloc style with the help of nasal endoscope.There was no relapse after 12 months of monitoring and the function for swallow and speech is perfect.Conclusion Hypopharyngeal liposarcoma is a rare intermediate malignant tumor,as it is hard to be diagnosed before the surgery.Endoscopic surgery should be a practicable choice with the instant follow-up.
作者
何龙
杨雅琳
陈彦晖
郭永梅
丁文双
陈墅圳
高雄辉
谢景华
HE Long;YANG Yalin;CHEN Yanhui;GUO Yongmei;DING Wenshuang;CHEN Shuzhen;GAO Xionghui;XIE Jinghua(Department of Otorhinolaryngology Head and Neck Surgery,Guangzhou First People's Hospital,The Second Affiliated Hospital of South China University of Technology,Guangzhou 510180,China;Department of Radiology,Guangzhou First People's Hospital,The Second Affiliated Hospital of South China University of Technology,Guangzhou 510180,China;Department of Pathology,Guangzhou First People's Hospital,The Second Affiliated Hospital of South China University of Technology,Guangzhou 510180,China;Department of Gastroenterology,Guangzhou First People's Hospital,The Second Affiliated Hospital of South China University of Technology,Guangzhou 510180,China)
出处
《广州医药》
2019年第6期89-92,112,共5页
Guangzhou Medical Journal
关键词
咽肿瘤
脂肪肉瘤
内镜
Pharyngeal neoplasm
Liposarcoma
Endoscopy
