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声带原位癌临床上少见。现将我科治疗的3例长期随诊结果报告如下。 我科自1978年1月～1985年12月底收治放疗喉癌病例218例,经病理证实“声带原位癌”3例,占我科同期喉癌病例的1.38％。 病例1,男,49岁,干部。因声哑反复出现3年,且逐渐加重。病理“喉原位癌”。以8mvX线照射野(6cm×6cm～5cm×5cm)仰位,水平照射。DT6000CGy/36f/71d(中休17天,疗中于DT4750CGy/22f/32d时声带肿物消失,疗毕3个月随诊发现“左声带稍水肿”,取病理为·声带粘膜呈慢性炎症,部分上皮增生、间质水肿,未见残余癌”(78.7.19);疗毕6个月左声带仍水肿,再取病理“鳞癌分化Ⅱ级,部分有中心坏死,已侵犯肌层。”即行半喉切除术,随诊至1993.12健在15年。
Vocal carcinoma in situ clinically rare. Now my treatment of 3 cases of long-term follow-up results reported below. Our department from January 1978 ~ December 1985 at the end of December treatment of radiotherapy laryngeal cancer in 218 cases, pathologically confirmed in 3 cases of vocal cords in situ, accounting for 1.38% of our department laryngeal cancer cases. Case 1, male, 49 years old, cadre. Due to sound dumb repeated 3 years, and gradually increased. Pathology “Laryngeal carcinoma in situ.” To 8mvX line irradiation field (6cm × 6cm ~ 5cm × 5cm) Yang position, horizontal irradiation. DT6000CGy / 36f / 71d (mid-holiday for 17 days, the treatment of DT4750CGy / 22f / 32d vocal mass disappeared after treatment for 3 months found that “left vocal cord slightly edema” pathology as vocal cord mucosa was chronic inflammation, Part of epithelial hyperplasia, interstitial edema, no residual cancer “(78.7.19); 6 months after treatment left vocal cord is still edema, and then take the pathological” squamous cell carcinoma of grade Ⅱ, part of the central necrosis, has been inflamed the muscular. " That line of semi-laryngectomy, followed up to 1993.12 Jian in 15 years.