• Title/Summary/Keyword: 후두 종양

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2 Cases of Malignant Changed Laryngeal Papilloma (악성변화를 일으킨 후두유두종 3례)

  • 이종담;고한진;고의경
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.6.1-6
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    • 1982
  • Papilloma is the common benign tumor of the larynx and the incidence of its malignant change was variable. The authors recently experienced 2 cases of squamous cell carcinoma of the larynx which were considered to be transformed from laryngeal papilloma. Case 1. A 58 year old male patient visited O.P.D. of Department of Otolaryngology of Busan National University Hospital, because of hoarseness for 3 years on May 13th, 1980. At that time, local finding of indirect laryngoscopy revealed whitish hypertrophic papillomatous mass on both vocal cords and anterior commissure, and dirty gray white pseudomembrane on left aryepiglottic fold, and the result of biopsy was squamous cell papilloma. So the laryngeal papilloma was removed under suspension laryngoscopy and then he had no specific treatment in spite of being recommended 5-FU topical spray. On March 5th, 1981, he visited O.P.D. again because of progressive exacerbation of hoarseness with mild dyspnea and histopathological finding was revealed squamous cell carcinoma of the larynx. Seven days later from that day, he visited emergency room due to severe dyspnea, and emergency tracheostomy was performed on sitting position. On April 7th 1981, total laryngectomy was performed successfully and postoperative irradiation therapy was recommended. Case 2. A 47 year old male patient visited our O.P.D. because of hoarseness for 5 years on Sep. 27, 1978. At that time, local finding of indirect laryngoscopy revealed papillomatous mass on left vocal cord and left ventricle and result of biopsy was squamous cell papilloma. So he had been treated with 11 times removal of papilloma, topical spray of 5-Fu and estrogen for 3 years, but the papilloma had been recurred. On Sep. 9th, 1981, he visited O.P.D. because of severe dyspnea and emergency tracheostomy and biopsy was performed. The result of biopsy was squamous cell carcinoma of larynx and total laryngectomy was performed successfully.

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Primary Small Cell Carcinoma of the Larynx : A Case Report (후두에 발생한 원발성 소세포암종 1예)

  • Choi, Joo Yul;Park, Sung Ho;Kim, Nam Young;Kim, Kyoung Hun;Choi, Ik Joon
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.1
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    • pp.22-26
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    • 2015
  • Small cell carcinoma of larynx has been reported as a rare disease occurring in 0.5% of larynx cancer. This tumor is known as one of the most lethal of all malignancies and associated with early recurrence and distant metastasis, leading into death. We experienced a case of a 70-year old male patient, who had admitted for sore throat and dysphagia and diagnosed as small cell carcinoma of larynx. We present small cell carcinoma of larynx with a brief review of literature.

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A Case of Dysplastic Epiglottis in Elderly Patient (노령 환자에서 발견된 후두개 이형성증 1예)

  • Lim, Sung Hwan;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.2
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    • pp.71-73
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    • 2017
  • Dysplastic epiglottis is extremely rare congenital malformation, which usually occurs in association with other laryngeal anomalies. Hypoplasia is the most common type in epiglottic malfomations. Other abnormalities include rudimentary, aplasia and bifid etc. Mostly, they are found in infancy and early childhood, and diagnosis at adulthood is extremely rare. A 69-year-old man with chronic cough and globus sense visited our clinic. Laryngoscopic findings revealed a unique form of epiglottis. He had no history of laryngeal trauma, tumors, head and neck surgery, and radiation. There was no another anomaly in the laryngo-pharynx. Because of a mass-like lesion at the apex of epiglottis, we performed the laryngeal microsurgery. The pathology revealed as granulation tissue. We report a rare and unique case of dysplastic epiglottis in elderly patient with a brief literature review.

A Case of Recurred Sarcomatoid Carcinoma of Larynx after Postoperative Radiotherapy (술후 방사선 치료 후 재발한 후두 육종양 암종 (Sarcomatoid Carcinoma) 1예)

  • Jeong, Jun-Hui;Lim, Beom-Jin;Ro, Jae-Y.;Choi, Hong-Shik
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.236-239
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    • 2010
  • Sarcomatoid carcinoma is a rare carcinoma which arises from upper respiratoy system, gastrointestinal tract, urinary tract and skin. Sarcomatoid carcinoma of larynx is rare so pathogenesis, clinical behavior, treatment and prognosis of it is being debated. Treatment of sarcomatoid carcinoma of larynx is similar to squamous cell carcinoma of larynx. We report a case of recurred sarcomatoid carcinoma after surgical treatment and postoperative radiotherapy.

A Case of Neurilemmoma of the Larynx (후두에 발생한 신경초종 1예)

  • Lee, Sung-Su;Lee, Dong-Wook;Shim, Woo-Sub;Moon, Young-Eun
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.171-173
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    • 2009
  • Neurilemmoma is a relatively rare benign tumor which may be derived from nerve sheath of the peripheral, sympathetic and cranial nerve except the optic nerve and olfactory nerve. And it is a characteristically solitary and well-encapsulated mass. About 25% of neurilemmoma occurs in the head and neck region and the acoustic nerve is most frequently involved, but neurilemmoma of the larynx is rare. Recently, we experienced a case of neurilemmoma occurred in the right aryepiglottic fold of the larynx. The tumor was successfully removed by transoral approach under direct laryngoscope. So we report this case with literature review.

A Case of Leiomyosarcoma of the Larynx (후두에 발생한 평활근육종 1예)

  • Park Hyun-Jin;Kim Hong-Rae;Shin Ok-Ran;Cho Kwang-Jae
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.45-47
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    • 2005
  • Leiomyosarcoma of the larynx is very rare, and rarely been described in reference to the head and neck region. This tumor occurs mainly in the uterus, the gastrointestinal track, and the retroperitoneum. There have been 24 previously reported cases of this tumor involving the larynx in the literature. Histologic diagnosis remains extremely difficult. A case of leiomyosarcoma of the larynx, treated by total laryngectomy, is reported. We discuss the clinical presentation, diagnosis, and treatment of leiomyosarcoma with a review of the literature.

A Case of Adenoid Cystic Carcinoma in Larynx (후두에 발생한 선양낭성암종 1예)

  • Tae, Kyung;Lee, Young-Seok;Kim, Hee-Ok;Lee, Yong-Seop
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.1
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    • pp.76-79
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    • 2008
  • Adenoid cystic carcinoma(ACC) is one of the common malignant tumor of the major and minor salivary glands. ACC arising from the larynx is relatively rare(less than 1% of laryngeal malignant tumors) and only about eighty cases have been reported in the English literature. Definite diagnosis of these lesions is made only from a histological analysis, because findings and symptoms are non-specific. The diagnosis progresses very slowly, therefore it often presents at an advanced stage with regional and distant metastasis. Here, we present one case of ACC of the supraglottic region with a review of literature.

On the Classification of Normal, Benign, Malignant Speech Using Neural Network and Cepstral Method (Cepstrum 방법과 신경회로망을 이용한 정상, 양성종양, 악성종양 상태의 식별에 관한 연구)

  • 조철우
    • Proceedings of the Acoustical Society of Korea Conference
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    • 1998.06e
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    • pp.399-402
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    • 1998
  • 본 논문에서는 환자의 음성을 정상, 양성종양, 악성종양으로 분류하는 실험을 켑스트럼 파라미터를 통한 음원분리와 신경회로망을 이용하여 수행하고 그 결과를 보고한다. 기존의 장애음성 데이터베이스에는 정상음성과 양성종양의 경우만 수록되어 있었고 외국의 환자들을 대상으로 한 경우만 있었기 때문에 국내의 환자들에게 직접 적용할 경우 어떠한 결과가 나올지 예측하기가 어려웠다. 최근 부산대학교 이비인후과팀에서 수집한 국내의 정상, 양성, 악성종양의 경우에 대한 데이터베이스를 분석하고 신경회로망에 의해 분류함으로써 사람의 음성신호만에 의한 후두질환이 식별이 가능하였다. 본 실험에서는 식별 파라미터로 음성신호의 선형예측오차신호에 관한 켑스트럼으로부터 음원비인 HNRR을 구하여 Jitter, Shimmer와 함께 사용하였다. 신경회로망은 입, 출력 층과 한 개의 은닉층을 갖는 다층신경망을 이용하였으며, 식별은 두단계로 나누어 정상과 비정상을 분류한 후 다시 비정상을 양성과 악성으로 분류하였다[1].

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Clinical Study on Laryngeal Cancer (후두암의 임상적 연구)

  • 문교갑;최종일;박철원;이형석;안경성
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.105-105
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    • 1993
  • Laryngeal cancer is the commonest of all head and neck malignancies and, in Korea, constitutes approximately 2.3% of all malignancies among males. Survival rate is rather higher than any other head and neck malignancies. Treatment results of 121 laryngeal cancer patients were analyzed. 1. Glottic region 44%, supraglottic 41%, subglottic 8%, transglottic 7%. 2. Rate of cervical metastasis according to T stage was 19% in T2 stage, 47% in T3 stage, 69% in T4 stage. 3. Overall 3-year NED survival rate was 65% and showed stage I 93%, stage II 76%, stage III 63%, stage IV 53%. 4. Glottic cancer showed much better prognosis(3-year NED 82%) than supraglottic cancer(3-year NED 58 %). 5. According to treatment modality, complication rates in surgery with postoperative radiation was higher than in surgery along and disproportionally higher in salvage surgery after failed curative radiation.

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Primary Laryngeal Lymphoma (후두에 발생한 원발성 림프종)

  • Lee, Ho Joong;Kwon, Oh Jin;Woo, Seung Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.24 no.2
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    • pp.118-121
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    • 2013
  • Primary lymphoma of the larynx is rare, accounting for less than 1% of all laryngeal neoplasm. Early symptoms are ambiguous and nonspecific, and confirmation of the diagnosis is often difficult. The aim of this study was to report the experience of our department in the management of these aggressive lesions, as they require special diagnostic and therapeutic attention. We enrolled 3 patients who diagnosis of lymphoma involving the larynx were retrospectively reviewed. The histopathological diagnosis revealed 1 case of diffuse large B cell lymphoma, and 2 case of NK-T cell lymphoma. Details of the presentation, diagnostic procedures, treatment, and outcome of these patients were presented. Primary laryngeal lymphoma is a rare entity. Early symptoms are subtle and nonspecific, and confirmation of the diagnosis is often difficult. Because of the rarity of this tumor type, the optimal management remains controversial and it seems that should be managed not as a distinct disease entity but as an unusual presentation of non-Hodgkin lymphoma, according to the recent treatment trends.

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