假声带发生MALT淋巴瘤1例

T. Iwahashi, R. Mochizuki, H. Muta
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摘要

摘要粘膜相关淋巴组织(MALT)淋巴瘤在喉部是罕见的。它的治疗还没有标准化,在eie阶段通常选择放疗或放化疗。我们报告一例发生在假声带的ii期喉部MALT淋巴瘤的手术治疗。患者为44岁女性,声音嘶哑。纤维镜检查显示右侧假声带表面光滑的肿瘤病变。病变在全身麻醉下用CO2激光切除活检治疗。组织学诊断为喉部MALT淋巴瘤e期。手术后她的声音有所改善。至今未见复发。局部病变的切除活检增加了诊断的确定性。这可能是一个根治性手术。观察是喉部分期MALT淋巴瘤患者切除活检后的选择之一。
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A Case of MALT Lymphoma Occurrence in the False Vocal Cord
Mucosa-associated lymphoid tissue(MALT)lymphoma in the larynx is rare. Its treatment has not been standardized and radiation therapy or radiochemotherapy are often selected for stageIE. We report on a case of surgical treatment for stageIE laryngeal MALT lymphoma which occurred in the false vocal cord. The patient was 44-year-old woman exhibiting hoarseness. Fiberscopic examination revealed a tumorous lesion of the right false vocal fold’s surface smooth. The lesion was treated by excisional biopsy under general anesthesia using a CO2 laser. Histological diagnosis was stageIE MALT lymphoma in the larynx. Her voice has improved after surgery. Recurrence has not been observed to the present. Excisional biopsy for localized lesions increases the certainty of diagnosis. And, it can be a radical surgery. Observation is one of the choice for patients of StageIE MALT lymphoma in the larynx after excisional biopsy.
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