頁籤選單縮合
題名 | 下咽部脂肪瘤--病例報告=Lipoma of the Hypopharynx-- Case Report |
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作者姓名(中文) | 黃啟哲; 李學禹; 黃俊生; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:4 1998.08[民87.08] |
頁次 | 頁115-118 |
分類號 | 416.89 |
關鍵詞 | 脂肪瘤; 下咽部; Lipoma; Hypopharynx; |
語文 | 中文(Chinese) |
中文摘要 | 脂肪瘤是最常見的軟組織腫瘤,但出現於下咽部的脂肪瘤則較罕見。下咽 部脂肪瘤臨床上多為一具莖部有被膜黃色柔軟單一腫塊,症狀表現從輕微的吞嚥困難、發聲 困難、聲音沙啞、喉部異物感,至急性呼吸困難窒息死亡。診斷上藉由電腦斷層掃描不僅可 顯示出腫瘤侵犯程度,且可幫助術前鑑別診斷。手術方式視腫瘤大小分成兩種,腫瘤較小者 經口內途徑切除,腫瘤較大者經頸部途徑切除。本院經歷 --55 歲女性串者,主訢近四年來 咽喉異物感並伴隨間歇性呼吸困難聲音改變。經喉內視鏡及電腦斷層檢查後,基於下咽部脂 肪瘤的診斷,患者接受經口內途徑腫瘤摘除,病理診斷為脂肪瘤,術後於門診追蹤,症狀顯 著改善,無復發跡象。 |
英文摘要 | Lipoma of the hypopharynx is rare. Clinically, it usually manifests as a pedunculated, well encapsulated, light coloured solitary mass. Symptoms include dysphagia, dysphonia, hoarseness, lumping throat and acute airway obstuction to death. Because the adipose tissue has a low computed tomography (CT) attenuation value, the CT scan can not only demarcate the extent of the tumor but also disclose the lipomatous nature of this tumor. Surgery is the treatment of choice. A small sized tumor can be removed endoscopically, while a larger one may require an external approach method. The paper reported a case of hypopharyngeal lipoma. We used transoral approach to extirpate the mass uneventfully. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。