原发于喉部的脂肪肉瘤1例暨文献复习

Liposarcoma of the Larynx:A Case Report and Literature Review

目的:总结喉部脂肪肉瘤的临床特征,提高对喉部脂肪肉瘤的认识。方法:回顾性分析一例我院收治的喉部脂肪肉瘤患者的临床特征、诊断、鉴别诊断和治疗,并查阅相关文献资料。结果:经支撑喉镜下取活检连同等离子切除后,本例患者睡眠打鼾、咽部不适、咳嗽等症状明显改善,经病理确诊为喉部脂肪肉瘤后患者到上级医院就诊。虽然上级医院建议行全喉切除术,但至今患者仍拒绝接受进一步治疗。目前患者无咳嗽,打鼾较术前明显减轻,仍有咽部异物感。结论:喉部脂肪肉瘤临床罕见,肿物生长缓慢,边界清楚,表面光滑,极易被误诊为喉部的良性肿瘤,诊断主要依靠病理检查结果,治疗主要为手术完整切除,切除范围应至少距肿物0.5 cm。

Objective:To summarize the clinical features of liposarcoma of the larynx,and improve the understanding of liposarcoma of the larynx.Methods:The clinical characteristics,diagnosis,differential diagnosis and treatment of a patient with liposarcoma of the larynx admitted to our hospital were retrospectively analyzed,and relevant literature was reviewed.Results:The patient's symptoms such as snoring,pharyngeal discomfort and cough were significantly improved after biopsy and plasma resection with self-retaining laryngoscope.The patient was pathologically diagnosed as liposarcoma of the larynx and went to a superior hospital.Although total laryngectomy was recommended,the patient refused further treatment.At present,a foreign body sensation in the pharynx was observed without cough,and snoring was significantly reduced after operation.Conclusion:Liposarcoma of the larynx is a rare tumor with slow growth,clear boundary and smooth surface,which is easily misdiagnosed as a benign tumor of the larynx.Relying mainly on pathological diagnosis,the treatment is mainly complete surgical resection,with the range at least 0.5 cm away from the mass.