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一个声带颗粒细胞瘤的病例
Kexin Liu1, Xiaocan Zhu1, Zhiqi Ma2
1The Fourth Clinical Medical college, Zhejiang Chinese Medical University.
Journal of visualized experiments : JoVE
|December 15, 2025
概括
喉中的一个罕见的颗粒细胞瘤 (GCT) 引起了声. 使用低温等离子体射频剥离 (LTP-RFA) 进行手术切除是成功的,24个月后没有复发.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 颗粒细胞瘤 (GCTs) 是一种罕见的瘤,通常是良性的,最常见于头部和部.
- 喉GCT异常罕见,存在诊断方面的挑战.
- 区分GCT与状细胞癌 (SCC) 对于适当的管理至关重要.
研究的目的:
- 报告一个罕见的喉颗粒细胞瘤 (GCT) 在真声的病例.
- 描述这种罕见的喉瘤的诊断特征和成功的手术治疗方法.
- 强调承认GCT作为喉病变的差异诊断的重要性.
主要方法:
- 一个45岁男性的病例介绍,患有渐进性声.
- 诊断评估包括喉腔镜检查,组织病理学和免疫组织化学 (S-100,CD68,NSE).
- 使用两阶段低温等离子体射频剥离 (LTP-RFA) 的手术切除.
主要成果:
- 组织病理学证实了颗粒细胞瘤具有特征性的颗粒细胞质和特定的免疫组织化学标记.
- 病变位于右真声的前三分之二.
- 通过LTP-RFA实现了完全切除,并且在手术后24个月没有发现复发.
结论:
- 喉颗粒细胞瘤很少见,但在声病变的差异诊断中需要考虑.
- 低温血射频移除 (LTP-RFA) 是喉GCT的有效治疗方式.
- 早期识别和完整的外科切除是成功管理和预防复发的关键.
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