喉神经内分泌癌1例

A case of laryngeal neuroendocrine carcinoma

患者,男,55岁,自诉2个月前开始无明显诱因的出现咽痛,并伴有刺激性呛咳,咳白色黏痰,于2016年5月9日来我院门诊就诊。门诊行动态喉镜示：会厌喉面偏右可见表面不平的青紫色肿物（图1）,考虑为纤维血管瘤或其他良性肿物的可能性大,故未行术前病理检查,入院后常规检查无异常,故以会厌肿物于2016年5月12日在全身麻醉下行支撑喉镜下会厌肿物切除术,术中见肿物位于会厌喉面右侧,大小约1.0cm×0.8cm。用等离子刀延肿物根部切除肿物,并送术后病理检查。

The patient had a sore throat without any special incentive for 2 months, accompanied by irritating cough and white sputum. Dynamic laryngoscopy showed： the right side of laryngeal surface of epiglottis can be seen an uneven purple mass, considered the possibility of fibrous hemangioma or other benign tumor. Intraoperative we had seen the tumor was located on the right side of the laryngeal surface of epiglottis, the size about 1.0 cm×0.8 cm. Postoperative pathology reported： Syn （＋）, CgA （＋）, CD56 （focal ＋）, CK （＋）. Diagnose： （epiglottis） neuroendocrine carcinoma.