特殊形态成人喉乳头状瘤一例

A case of adult laryngeal papilloma with special morphology

本文对一例喉肿物进行回顾性分析报道。患者男性,主因声音嘶哑和吞咽困难而入院。电子喉镜下喉肿物呈灰白色毛刷样,占据部分声门。此外,胸片未见肺部或上呼吸道可疑的活跃病变。在支撑喉镜下用低温等离子体射频彻底切除喉部肿物。术后病理活检结果为喉乳头状瘤伴重度角化。结合患者的临床表现,结合各种实验室及影像学检查,最终确诊为喉部乳头状瘤。喉乳头状瘤是一种易复发的交界性肿瘤。临床上较为常见,但生长为'毛刷状'喉乳头状瘤的报道较少。极易误诊,应主要与喉癌、喉癌角化症鉴别。本文的目的是提高临床经验和回顾文献,以提高对该病的认识。

Here a case of laryngeal mass was retrospectively analyzed.The high-aged patient came to hospital with the symptoms of hoarseness and dysphagia.A grey-white brush appearance of the laryngeal mass was showed under the electronic laryngoscope which filled the partial glottis.Moreover,his chest radiographic displayed no suspected active lesions in the lungs or upper respiratory tract.The laryngeal mass was completely removed with low-temperature plasma radio frequency under endoscopic suspension laryngoscope.Postoperative pathological biopsy results showed that it was papilloma of larynx with severe keratosis.Combined the patient’s clinical manifestations with various laboratory and imaging examinations,Laryngeal papilloma was eventually diagnosed.Laryngeal papilloma is a kind of borderline tumor which is prone to recurrence.It is relatively common in clinic but the ubrush likew laryngeal papilloma is rarely reported.It is easy to be misdiagnosed,it should be mainly differentiated from keratosis of the larynx and laryngeal cancer.The purpose of this article is to improve clinical experience and review the literature to raise awareness of the disease.