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喉声带腺癌少见,我科收治1例.现报告如下.患者.女.61岁.入院前出现无明显诱因的声音嘶哑.呈持续性、渐进性加重.无发热、吞咽痛及呼吸困难. 有40年吸烟史.每天抽一包香烟,不饮酒.体检:一般情况好,中度声音嘶哑.间接喉镜见右声带前中1.3处有灰白色肿物,粗糙.隆起于声带表面.未达前联合及声突.左声带、双室带粘膜光滑,双声带运动正常,双颈部未触及肿大淋巴结.胸透:未见异常.组织学检查:腺癌.诊断:喉癌.声门型.T_1N_(?)M_(?),I期.于1992年7月3日在全麻下行喉裂开术.见肿物位于右声带前中1/3交界处,呈莱花样,约0. 7cm×0. 3cm×0.2cm.距前连合0. 3cm,距声突0.5cm.切除右侧声带全长及声带肌.局部缝合.随访3年未复发.
Throat with adenocarcinoma rare in our department admitted in 1. The report is as follows. Patients. Female. 61 years old. There was no obvious incentive before admission to the hoarse voice. Was persistent, progressive increase. No fever, swallowing pain and dyspnea. Have a history of 40 years of smoking. Smoking a pack of cigarettes a day, do not drink. Physical examination: the general situation is good, moderate hoarseness. Indirect laryngoscopy see the front of the right vocal cords in 1.3 with gray-white mass, rough. Left anterior chamber, double chamber with mucosal smooth, normal movement of both vocal folds, double neck without touching enlarged lymph nodes. Chest throat: no abnormalities. Histological examination: adenocarcinoma. Diagnosis: larynx. Type. T_1N _ (?) M _ (?), I. July 31, 1992 under general anesthesia laryngectomy. See the tumor located in the right vocal cords before the 1/3 junction, was Lai-like, . 7cm × 0. 3cm × 0.2cm. Anterior commissure 0. 3cm, 0.5cm from the sound of sudden. Right vocal cord resection of the entire length and vocal cord. Local suture. 3-year follow-up without recurrence.