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声门上癌向前上发展的病理组织学研究

Histopathologic Study on the Anterosuperior Spreading of Supraglottic Carcinoma

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【作者】 王丽萍于靖寰费声重潘子民

【Author】 Wang Liping ; Yu Jinghuan; Fei Shengzhong,et al . lst( Affiliated Hospital,China Medical University,Shenyang,110001)

【机构】 中国医科大学附属第一医院耳鼻咽喉科

【摘要】 采用喉连续切片技术重点观察100例声门上癌向前上发展的病理特点:声门上癌向前上发展平均为75%,其中会厌室带癌向前上发展的频度最高,为90%,会厌癌为81.8%,室带癌为33.3%,构会壁癌和构区癌未见向前上发展,声门上癌向前上发展以累及会厌前间隙为主,共6O例,其中累及会厌舌面为42例次,累及会厌谷为17例次,累及舌根为12例次,累及甲状软骨前上部为7例次。通过研究明确了声门上癌向前上发展的规律,加深了对声门上癌的认识,对指导临床实践有重要意义。

【Abstract】 Pathologic characteristic of supraglottic carcinoma spreading anterosuperiorly in l00 cas-es was investigated by whole-organ sections of the larynx. The results showed that 75%of supraglottic carcinomas were found to spread anterosuperiorly.In these cases, carcinoma in the epiglottis-ventricular fold accounted for 90%;epiglottic carcinoma 8l.8%; and carcinoma in the ventricular fold 33.3%。Carcinoma in the aryepiglottic fold and arytenoid region was not noted to spread anterosuperiorly.In the cases with anterosuperior spreading of supraglottic carcinima, the pre-epiglottic space was most common-ly involved,which accounted for 60%of the cases; while the lingual surface of the epigottis 42% the vallecula l7%; the base of the tongue l2%; and the anterosuperior part of the thyroid cartilage 7%.

  • 【文献出处】 中华耳鼻咽喉科杂志 ,CHINESE JOURNAL OF OTORHINOLARYNGOLOGY , 编辑部邮箱 ,1995年01期
  • 【分类号】R739.650.2
  • 【被引频次】9
  • 【下载频次】22
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