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喉神经内分泌肿瘤临床特征
引用本文:黄益灯,周水淼,白辰光,郑宏良,王灿敏,张速勤,李兆基,沈小华.喉神经内分泌肿瘤临床特征[J].临床耳鼻咽喉头颈外科杂志,2004,18(3):132-133,159.
作者姓名:黄益灯  周水淼  白辰光  郑宏良  王灿敏  张速勤  李兆基  沈小华
作者单位:1. 温州解放军第118医院耳鼻咽喉科
2. 第二军医大学长海医院耳鼻咽喉科,上海,200433
3. 第二军医大学长海医院病理科
摘    要:目的:探讨喉神经内分泌肿瘤的临床表现、诊断及治疗。方法:回顾分析我科收治的3例喉神经内分泌肿瘤,其中非典型类癌2例,行根治性手术切除及颈廓清术;嗜铬细胞瘤1例,行肿瘤局部切除术。结果:非典型类癌2例,术后随访1年,情况稳定。嗜铬细胞瘤1例,术后随访11年,预后良好。结论:喉神经内分泌肿瘤是一组形态各异的病变,正确诊断有赖于临床特点、光镜、免疫组织化学检查,部分患者需行超微结构检查。不同类型的肿瘤应行不同的治疗方法。

关 键 词:喉肿瘤  神经内分泌肿瘤  外科手术
文章编号:1001-1781(2004)03-0132-03
修稿时间:2003年10月15

The clinical feature of laryngeal neuroendocrine neoplasms
HUANG Yideng,ZHOU Shuimiao,BAI Chenguang,ZHENG Hongliang,WANG Canmin,ZHANG Suqin,LI Zhaoji,SHEN Xiaohua.The clinical feature of laryngeal neuroendocrine neoplasms[J].Journal of Clinical Otorhinolaryngology,2004,18(3):132-133,159.
Authors:HUANG Yideng  ZHOU Shuimiao  BAI Chenguang  ZHENG Hongliang  WANG Canmin  ZHANG Suqin  LI Zhaoji  SHEN Xiaohua
Affiliation:Department of Otolaryngology, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China.
Abstract:Objective:To study the clinical manifestation, diagnosis and treatment of laryngeal neuroendocrine neoplasms. Method: Three cases of laryngeal neuroendocrine neoplasms were analyzed, of which two cases were diagnosed as atypical carcinoids with radical surgery and neck dissection, another case was diagnosed as asparaganglioma through local neoplastic removal. Result: Two patients of atypical carcinoids are in a good condition after following up one year and another patient of asparaganglioma is with good prognosis after following up eleven years.Conclusion: Laryngeal neuroendocrine neoplasms are composed of a morphologically heterogeneous group of lesions. Accurate diagnosis is primarily based on clinical characteristic, microscopic and immunohistochemical examination. In some instances, it may be supported by ultrastructural studies. Difference treatment should be provided to different classified tumor.
Keywords:Laryngeal neoplasms  Neuroendocrine neoplasms  Surgery  operative
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