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头颈部化学感受器瘤较少见,作者自1984年至1990年对共收治的9例进行分析,其中鼓室、颈静脉球体6例,咽侧部2例,声带1例。患者年龄平均40岁,男女之比为1:2。由于本病病程较长,症状各异,诊断较为困难,对部分病理形态异形大,易误诊为癌、血管瘤的病例,可借助于免疫组化来确诊。化学感受器瘤的治疗,首选手术,放疗仅作为辅助手段。此瘤的预后,因其良恶性问题尚有分歧,一般认为,该瘤在病理形态上属良性,临床表现上呈浸润性生长,可破坏邻近组织及骨壁,向颅内侵犯。9例中2例失访,7例均健在。
Head and neck chemoreceptor tumors are rare, and the authors analyzed nine cases that were treated from 1984 to 1990. Among them, 6 were tympanic and jugular venous, 2 were pharyngeal, and 1 was vocal cord. The average age of the patients was 40 years, and the ratio between men and women was 1:2. Due to the long course of the disease and various symptoms, the diagnosis is difficult. For some cases with large histopathological configurations and being misdiagnosed as cancer or hemangiomas, diagnosis can be confirmed by immunohistochemistry. For the treatment of chemoreceptor tumors, the first choice is surgery, and radiotherapy is only used as an aid. The prognosis of this tumor is still divergent because of its benign and malignant problems. It is generally believed that the tumor is benign in pathology, with infiltrative growth on the clinical manifestation, which can damage the adjacent tissues and bone wall and invade the brain. Of the 9 cases, 2 were lost to follow-up and 7 were alive.