患者,女,56岁,因“声嘶1个多月”于2011年9月15日入院,患者无诱因出现声音沙哑,咽部干辣不适,用嗓过度后加重,无咽痛,发热盗汗,伴有咽干,偶有轻微咽痛及咽部异物感,少许咽部阻塞感,无饮水呛咳、呼吸及吞咽困难,无咳嗽咯痰,痰中带血,曾到当地医院就诊,经对症治疗后症状缓解不满意。既往史无特殊。全身查体无特殊,专科检查:纤维喉镜下见会厌光滑,无充血及肿胀,右侧室带可见类圆形肿物,黏膜隆起,表面光滑,未见破 Patients, female, 56 years old, due to “hoarseness more than a month ” on September 15, 2011 admission, patients with no incentive to appear hoarseness, dry and throat discomfort, increased with excessive throat, no sore throat, Fever, night sweats, accompanied by throat, occasional slight sore throat and pharyngeal foreign body sensation, a little pharyngeal obstruction, no drinking water cough, difficulty breathing and swallowing, no cough, phlegm, bloody sputum, went to the local hospital , Symptomatic treatment after symptomatic relief are not satisfied. No previous history. No special examination of the whole body, specialist examination: see epiglottis smooth fiber laryngoscopy, no congestion and swelling, the right side of the room with a visible round-like tumor, mucosal uplift, the surface smooth, no broken