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患者,女,52岁。一年前出现声音嘶哑,后渐加重。于1980年4月来门诊就医。既往有10年高血压病史,无吸烟饮酒嗜好。一般情况好,心肺正常,浅表淋巴结无肿大。局部检查:耳、鼻、咽无异常。声音嘶哑,无呼吸困难。间接镜下见会厌正常,双侧杓会厌襞正常,双侧声带运动良好,仅右侧声带前1/3有一小结节突起,呈瓷白色,表面较粗糙,声带闭合不严,余未见异常。间接喉镜下取局部摘除0.3×0.3cm标本差,病理活检,病理报告喉鳞状细胞癌T_1N_0M_0。于10日后再次门诊就医,间接喉镜下见右侧声带前1/3表面不平整,小结消失,有少许伪膜附着。拟行喉裂开术根治,病人拒绝后转北京日坛医院,该院检查并阅病理片后,同
Patient, female, 52 years old. Appeared a year ago hoarse voice, gradually increased. In April 1980 to the clinic. Previous 10-year history of hypertension, non-smoking drinking habits. Generally good, normal heart and lung, superficial lymph nodes without swelling. Local examination: ear, nose, pharyngeal no abnormalities. Hoarse voice, no breathing difficulties. Indirect mirror see epiglottis normal, both sides of the skull epiglottis normal, bilateral vocal cord movement well, only the first 1/3 of the right vocal cord has a small nodular process, was porcelain white, rough surface, the vocal cord is not closed, I have not seen abnormal. Indirect laryngoscopic removal of 0.3 × 0.3cm local removal of specimens, pathological biopsy, pathology report laryngeal squamous cell carcinoma T_1N_0M_0. After 10 days outpatient treatment, indirect laryngoscopy see the right vocal cords before the 1/3 surface is not flat, the summary disappeared, a little pseudomembranous attachment. Proposed laryngectomy surgery, the patient refused to go to Beijing Ritan Hospital, the hospital check and read pathology, the same