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1临床资料病例1,男,72岁,2007年8月因声音嘶哑,发现颈部渐大性肿块收住院。查CT示咽喉部可见一占位性病变,最大层面为4.1 cm×8.2 cm,肿块向前方突入喉腔,部分环状软骨及杓状软骨被破坏,侧梨状窝消失(图1)。病灶内散在斑片状高密度影,强化后病灶轻度强化,其内有更低密度区,病灶边缘,部分可见包膜。2007年8月全麻下行喉肿块切除术。术后病检为高分化软骨肉瘤。术后患者声音嘶哑无明
1 Clinical data Case 1, male, 72 years old, in August 2007 due to hoarseness and found the gradual enlargement of the neck in the hospital. CT examination showed a throat occupying lesions, the maximum level of 4.1 cm × 8.2 cm, the tumor broke into the throat forward, part of the annular cartilage and arytenoid cartilage was destroyed, side of the pear-shaped fossa disappeared (Figure 1). Lesions scattered patchy high-density shadow, enhanced mild enhancement of the lesion, which has a lower density area, the lesion edge, part of the visible envelope. August 2007 general anesthesia laryngectomy. Postoperative examination for well-differentiated chondrosarcoma. After the patient hoarseness ignorant