聲帶橫紋肌瘤─病例報告

Rhabdomyoma of the Vocal Cord - Case Report

張巍耀(Wei-Yao Chang) ； 游進益(Chin-Yi Yu) ； 許振益(Chen-Yi Hsu)

《中華民國耳鼻喉科醫學會雜誌》 30卷6期 (1995/12) Pp. 616-620

https://doi.org/10.6286/1995.30.6.616

摘要

橫紋肌瘤是一種不常見的腫瘤，主要發生的部位是心臟。而心臟外的橫紋肌瘤非常少見，醫學文獻上只有零星的報告。台中榮總耳鼻喉科於1993年7月經歷一例聲帶橫紋肌瘤的病例，主訴聲音嘶啞有6個月之久，在6月間曾於其他醫院接受喉內顯微手術切除兩側聲帶結節，不幸術後聲音嘶啞並無改善，並於7月轉診至本科。理學檢查發現左側聲帶有明顯紅棕色紅腫，經喉內顯微手術在左側聲帶黏膜下取出大量灰棕色膠狀物，病理報告為橫紋肌瘤。因為此腫瘤長在聲帶上極為罕見，謹提出報告，以供參考。

關鍵字

橫紋肌瘤 ； 聲帶 ； 喉內顯微手術

並列摘要

Extracardiac rhabdomyoma is a rare benign tumor that has a predilection for the skeletal muscle of the head and neck. There have only been 10 cases of vocal cord rhabdomyoma reported in the literature until now.
In July 1993, we encountered a 64-year-old male patient who suffered from boarseness for six months. The indirect mirror examination revealed a brownish mass over the left vocal cord. The patient underwent endolaryngomicrosurgery later and some brownish jelly-like material was found in the mass. The pathology revealed rhabdomyoma. The voice was much improved after surgery and no recurrence of tumor was found during the one year and 9 months follow-up period.
Vocal cord rhabdomyoma runs a benign course. Beside the clinical manifestation and laryngoscopic examination, the exact diagnosis is based on the histopathology. The treatment of choice is adequate and conservative excision of the tumor. Meanwhile, upper aerodigestive function should be carefully preserved.

並列關鍵字

Rhabdomyoma ； vocal cord ； endolaryngomicrosurgery