查詢結果分析
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題 名 | Pharyngeal and Laryngeal Lesions Presenting as "Hemoptysis" and Evaluated by Bronchoscopy--A Ten-Year Experience=由支氣管鏡評估以「咳血」來表現的咽喉病灶--十年的經驗 |
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作 者 | 陳永哲; 吳沼漧; 賴永發; | 書刊名 | 胸腔醫學 |
卷 期 | 17:4 2002.12[民91.12] |
頁 次 | 頁309-316 |
分類號 | 415.41 |
關鍵詞 | 咳血; 假性咳血; 支氣管鏡; 咽喉病灶; Hemoptysis; Pseudohemoptysis; Bronchoscopy; Pharyngeal lesions; Laryngeal lesions; |
語 文 | 英文(English) |
中文摘要 | 咳血是重要而且駭人的症狀,它常暗示嚴重的疾病。無論血是從肺部或肺部以外的構造產生的,病人的描述可能都類似。假性咳血可以藉由病史,理學檢查,及支氣管鏡檢查來跟真性咳血區別。在本研究中,回顧了從1992到2001因為“咳血”而接受支氣管鏡檢查的2017位病人。我們發現了18個(0.88%)咽喉病灶。其中10個(0.54%)在支氣管鏡檢查時顯示活動性的血液滲出(假性咳血)。有14例經由切片證實的病理診斷:4個鼻咽癌(0.2%),1個下咽癌(0.05%),2個下咽轉移癌(0.1%),1個聲帶異生(0.05%),1個杓狀軟骨間白斑(0.05%),4個類淋巴增生(0.2%; 1個在上會厭,3個在鼻咽),及1個咽炎(0.05%)。前面7例惡性腫瘤及1例異生在支氣管鏡檢查時都顯示活動性血液滲出,而後5例良性病灶中只有1例如此。因此,我們認為惡性腫瘤是咽喉病灶造成假性咳血最常見的原因。此外,我們還找出了一個包含831人(41.19%)的次母群體,他們最初的支氣管鏡檢查都沒有任何發現,而且沒有上呼吸道癌症的過去病史;其中有3例(0.36%)在後續追蹤調查期間新診斷出上呼吸道癌症(皆為鼻咽癌)。所以,我們的結論是:經由支氣管鏡詳細的視察及多次切片可以早期診斷出咽喉的惡性腫瘤;另外,長期咳血的病人若其支氣管鏡檢查為正常者,應轉診耳鼻喉科做進一步的檢查。 |
英文摘要 | Hemoptysis, an important and alarming symptom, often indicates serious disease. Whether the blood is expectorated from pulmonary or non-pulmonary source, the patient's description may be quite similar. Pseudohemoptysis can be distinguished from true hemoptysis by a history-taking, physical examination, and bronchoscopic evaluation. In this study, a total of 2017 patients who had undergone bronchoscopy for "hemoptysis" between 1992 and 2001 were retrospectively reviewed. We found 18 laryngeal and pharyngeal lesions (0.88%), of which 10 cases (0.54%) showed active oozing (pseudohemoptysis) during the bronchoscopic examination. Fourteen pathologic conditions were diagnosed with a biopsy: 4 nasopharyngeal carcinomas (0.2%), 1 hypopharyngeal carcinoma (0.05%), 2 metastatic carcinomas of the hypopharynx (0.1%), 1 vocal cord dysplasia (0.05%), 1 interarytenoid leukoplakia (0.05%), 4 cases of lymphoid hyperplasia (0.2%; 1 in the epiglottis, 3 in the nasopharynx), and 1 pharyngitis (0.05%). The seven malignant cases and one dysplasia all showed active oozing during the bronchoscopic examination, but only one of the five benign lesions did so. Thus, we consider malignancy to be the most common cause of pseudohemoptysis, due to the pharyngeal and largyngeal lesions. In addition, a subgroup of 831 patients (41.19%) with negative findings in the initial bronchoscopy, and without a past history of upper airway malignancy, was identified, of which 3 cases (0.36%) turned out to have a diagnosis of upper airway malignancy during the follow-up period; all of them were nasopharyngeal carcinomas. Therefore, we conclude that an early diagnosis of pharyngeal and laryngeal malignancy can be made with a careful evaluation and multiple punch biopsies via the bronchoscopy. Those patients presenting with a long history of "hemoptysis", but with a negative bronchoscopy study, should be referred to the otorhinolaryngeal department for further evaluation. |
本系統中英文摘要資訊取自各篇刊載內容。