下咽神经内分泌非典型类癌1例
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1.深圳大学附属华南医院;2.深圳市耳鼻咽喉疾病临床医学研究中心;3.深圳市第二人民医院

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深圳市耳鼻咽喉疾病临床医学研究中心资助项目(项目编号:20220819120540004-006)


A case of atypical neuroendocrine carcinoma of the lower pharynx
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Shenzhen University Affiliated South China Hospital

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    摘要:

    神经内分泌癌(neuroendocrine carcinoma,NEC)常见原发于胃肠道、下呼吸道系统,喉神经内分泌癌(laryngeal neuroendocrine carcinoma,LNEC)属于非典型部位NEC,是一种具有侵袭性且可能广发转移的恶性肿瘤,在临床上少见。本文报道一例深圳大学附属华南医院耳鼻咽喉科住院就诊76岁男性患者,术后病理确诊下咽中分化NEC,非典型类癌。术后随访三个月,未见肿瘤复发,本文通过总结此病例特点,查阅相关文献资料复习总结,介绍LNEC发病特点、临床表现、鉴别诊断、病理、治疗方法及预后等。

    Abstract:

    Neuroendocrine carcinoma (NEC) is commonly seen in the gastrointestinal tract and lower respiratory tract. Laryngeal neuroendocrine carcinoma (LNEC) belongs to the atypical site of NEC and is an invasive and potentially metastatic malignant tumor that is rare in clinical practice. This article reports a 76 year old male patient who was visited in the Department of Otolaryngology at the Affiliated South China Hospital of Shenzhen University. Imaging examination suggested the possibility of pharyngeal cancer. Under general anesthesia, plasma resection of pharyngeal tumor under laryngoscope was performed, and postoperative pathology showed moderately differentiated neuroendocrine carcinoma and atypical carcinoid carcinoma. The postoperative sore throat was relieved, and follow-up for 3 months showed good recovery without tumor recurrence. This article summarizes the characteristics of this case, reviews and summarizes relevant literature, and introduces the pathogenesis, clinical manifestations, differential diagnosis, pathological diagnosis, treatment methods, and prognosis of LNEC.

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  • 收稿日期:2024-11-25
  • 最后修改日期:2024-12-20
  • 录用日期:2025-01-03
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