声带丛状神经鞘瘤1例

1 case of vocal cord plexiform schwannoma

患者，女，36岁，因声嘶2年余加重1个月，于2013年2月24日来本院门诊。电子喉镜检查（图1）：见右侧声带中后2／3段有表面光滑的红色广基样新生物。患者除声嘶、咽部异物感外，无胸闷、咳嗽、呛咳、反酸及恶心呕吐症状。入院检查后于全身麻醉支撑喉镜下行右侧声带新生物摘除术，术中见新生物位于右侧声带的侧缘并累及声带下缘，与声带分界清晰。将新生物尽量彻底切除。

A 36 years old patient with hoarseness for 2 years and got worsen for one month, electronic laryn- goscopy showed a red smooth--faced wide based neoplasm on the posterior 2/3 of the right side of the vocal cords. The neoplasm was excised under suspension laryngoscope . The pathologic results showed ： Cells were weave pat- terned, infiltrative growth, mitotic figure was rare. Immunohistochemical results showed CD34 （-）, SMA （-）, DM （-）, S -- 100 （＋）. The pathological diagnosis was plexiform schwannoma.