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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較單一腫塊,症狀表現從輕微的吞嚥困難、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,腫瘤較大都經頸部途徑切除。本院經歷一55歲女性患者,主訴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。

關鍵字

脂肪瘤 下咽部

並列摘要


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.

並列關鍵字

lipoma hypopharynx

延伸閱讀


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