Cases of Larynx Disease and Ventricular Carcinoma that were Difficult Diagnosis

T. Ono, H. Umeno, S. Chitose, T. Nakashima
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Abstract

Among laryngeal cancers, which are often difficult to identify and diagnose, there is the possibility for cases of glottic cancer, similar to laryngeal polyps or cysts, and ventricular carcinoma of the larynx with swelling of the false fold. In the present case, we treated a patient with a lesion ventricular carcinoma, that was difficult to detect and diagnosed. The mass did not exhibit the characteristics of ventricular carcinoma to in the larynx and was instead located in the deep portion of the laryngeal ventricle; therefore, its discovery was delayed . In addi-tion, only swelling of the false fold was observed under an endoscope and the lesion may progress, requiring la-ryngectomy, during follow up. Ventricular carcinomas often progress in the top and bottom of the glottis region within the paraglottic space, making it difficult to detect such tumors early. In addition, ventricular carcinomas easily develop lymph node and distant metastaseis. We herein report the cases of the patient with false fold swelling who were found to have ventricular carcinoma of the larynx, and discuss the clinical and pathological characteristics of the tumor.
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难以诊断的喉病和脑室癌病例分析
在喉癌中,往往难以识别和诊断,有可能出现声门癌,类似于喉息肉或囊肿,以及喉室癌伴假襞肿胀。在本病例中,我们治疗了一位难以发现和诊断的脑室癌病变患者。肿块没有表现出喉部脑室癌的特征,而是位于喉室的深部;因此,它的发现被推迟了。此外,在内窥镜下仅观察到假襞肿胀,在随访期间病变可能进展,需要切除喉。室性癌常在副声门区上下部进展,早期不易发现。此外,脑室癌易发生淋巴结转移和远处转移。我们在此报告一例假襞肿胀的患者被发现为喉室癌,并讨论肿瘤的临床和病理特征。
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