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患者男性,60岁,教师。因咽痛、吞咽障碍1周而于1994年10月14日入院。无声嘶、咳嗽及咯血。吞咽时咽痛明显。体检:呼吸平稳,心肺听诊正常,肝脾肋下未触及,未及肿大颈淋巴结。咽部呈慢性充血,两侧扁桃腺未见红肿。间接喉镜下见左侧喉咽部有黯红色、表面光滑、山核桃大小新生物,边界清,基底附着于会厌舌面左中下缘,会厌呈卷曲状被推向右侧,活动受限,两侧声带不能完全窥见,杓状软骨活动正常。入院后先在直接喉镜下活检,切片在显微镜下可见大量肌上皮细胞和上皮细胞,病理诊断为多形性腺瘤。入院后第10天在全麻下先行气管切开,自咽侧径路完整切除2cm
Male patient, 60 years old, teacher. Due to sore throat, dysphagia for 1 week and in October 14, 1994 admission. No hiss, cough and hemoptysis. Sore throat when swallowing obvious. Physical examination: stable breathing, cardiopulmonary auscultation normal, liver and spleen ribs did not touch, not swollen neck lymph nodes. Throat was chronic congestion, no swelling on both sides of the tonsils. Indirect laryngoscopy see the left throat and pharynx dark red, smooth surface, the size of the new biological pecan, clear boundary, the base attached to the epicenter surface of the tongue in the middle and lower edge of the epiglottis was curled pushed to the right, limited mobility , Vocal cords on both sides can not be completely glimpsed, arytenoid cartilage activity is normal. After the first biopsy in direct laryngoscope after admission, a large number of myometrial epithelial cells and epithelial cells can be seen under the microscope, the pathological diagnosis of pleomorphic adenoma. The first 10 days after admission tracheotomy under general anesthesia, self-pharyngeal path complete resection 2cm