患者,男,51岁,咽喉疼痛1个月余,于2004年1月3日入院。电子喉镜检查见左侧室带、杓会厌襞局限性隆起、溃烂,左侧犁状窝完整,会厌未受侵犯,双侧声带活动好。彩超提示双侧多个淋巴结肿大,其中最大一个在左侧,大小约2cm×3cm。CT检查示声门上型喉癌伴腮腺内转移可能(图1)。取材病检 The patient, male, 51 years old, had sore throat for more than 1 month and was admitted on January 3, 2004. Electronic laryngoscopy see the left ventricular band, the crape epiglottis 襞 limitations uplift, ulceration, the left plow litter integrity, epiglottis not violated, bilateral vocal activity good. Color Doppler ultrasound prompted multiple bilateral lymph nodes, the largest one on the left, the size of about 2cm × 3cm. CT examination showed supraglottic laryngeal cancer with parotid metastasis may be (Figure 1). Materials taken ill