七年制醫(yī)學課件耳鼻喉4喉癌

1.Preface(1)Themostcommonestcarcinomainthelarynx(2)Thegreatdifferencefromplacetoplace(3)Thegreatdifferencebetweenmaleandfemalemale:female10:1(4)Themostdangerousage:50~70喉癌1.Preface喉癌12.Etiology,unclear(1)smoking(2)drinking(3)aircontaintment(4)virusinfectionHPV(5)hormone(6)pre-malignantleisions(癌前病變)papillomaofthelarynx(喉乳頭狀瘤)leukoplakiaofthelarynx(喉白班病)2.Etiology,unclear2正常喉部正常喉部3七年制醫(yī)學課件耳鼻喉4喉癌4MultiplepapillomasofthelarynxMultiplepapillomasofthelar5PapillomatosisofthelarynxPapillomatosisofthelarynx6PapillomaofthelarynxPapillomaofthelarynx7PapillomaofthelarynxandtracheaPapillomaofthelarynxandtr8LeukoplakiawithdysplasiaofthevocalcordsLeukoplakiawithdysplasiaof9ChronicparakeratoticlaryngitisChronicparakeratoticlaryngi103.Pathology93%~99%squamouscellcarcinomabetterdifferentiated(I-II)4.Clinicalsymptomsandsignssupraglotticcarcinoma聲門上型癌glotticcarcinoma聲門型癌subglotticcarcinoma聲門下型癌3.Pathology11(1)supraglotticcarcinomaA.earlystage:(atypical)haemoptysis(痰中帶血)Sorethroat（喉痛）Irritatingcough(刺激性咳嗽)B.laterstage:Hoarsness（聲嘶）Dyspnea（呼吸困難）C.easilylymphnodematastases(淋巴結(jié)轉(zhuǎn)移)(1)supraglotticcarcinoma12CarcinomaoftheepiglottisCarcinomaoftheepiglotti13AdvancedsquamouscellcarcinomaofthelarynxAdvancedsquamouscellcarcino14(2)glotticcarcinomaA.earlystagehoarsnessB.laterstagedyspnea(呼吸困難)C.difficultymatastases(3)sybglotticcarcinomasameassupraglotticcarcinoma(2)glotticcarcinoma15CarcinomainsituoftheleftvocalcordCarcinomainsituoftheleft16CarcinomaoftheanteriorglottisCarcinomaoftheanteriorglot17SquamouscellcarcinomaofthearyepiglotticfoldandpiriformsinusSquamouscellcarcinomaofthe185.Diaglosisbiopsy（活檢）x-ray、CT-scan、MRI6.Treatment(1)operation(手術(shù))partiallaryngectomy（部分喉切除術(shù)）totallaryngectomy（全喉切除術(shù)）(2)radiatherapy（放射治療）(3)chemotherapy（化學治療）5.Diaglosis191.Preface(1)Themostcommonestcarcinomainthelarynx(2)Thegreatdifferencefromplacetoplace(3)Thegreatdifferencebetweenmaleandfemalemale:female10:1(4)Themostdangerousage:50~70喉癌1.Preface喉癌202.Etiology,unclear(1)smoking(2)drinking(3)aircontaintment(4)virusinfectionHPV(5)hormone(6)pre-malignantleisions(癌前病變)papillomaofthelarynx(喉乳頭狀瘤)leukoplakiaofthelarynx(喉白班病)2.Etiology,unclear21正常喉部正常喉部22七年制醫(yī)學課件耳鼻喉4喉癌23MultiplepapillomasofthelarynxMultiplepapillomasofthelar24PapillomatosisofthelarynxPapillomatosisofthelarynx25PapillomaofthelarynxPapillomaofthelarynx26PapillomaofthelarynxandtracheaPapillomaofthelarynxandtr27LeukoplakiawithdysplasiaofthevocalcordsLeukoplakiawithdysplasiaof28ChronicparakeratoticlaryngitisChronicparakeratoticlaryngi293.Pathology93%~99%squamouscellcarcinomabetterdifferentiated(I-II)4.Clinicalsymptomsandsignssupraglotticcarcinoma聲門上型癌glotticcarcinoma聲門型癌subglotticcarcinoma聲門下型癌3.Pathology30(1)supraglotticcarcinomaA.earlystage:(atypical)haemoptysis(痰中帶血)Sorethroat（喉痛）Irritatingcough(刺激性咳嗽)B.laterstage:Hoarsness（聲嘶）Dyspnea（呼吸困難）C.easilylymphnodematastases(淋巴結(jié)轉(zhuǎn)移)(1)supraglotticcarcinoma31CarcinomaoftheepiglottisCarcinomaoftheepiglotti32AdvancedsquamouscellcarcinomaofthelarynxAdvancedsquamouscellcarcino33(2)glotticcarcinomaA.earlystagehoarsnessB.laterstagedyspnea(呼吸困難)C.difficultymatastases(3)sybglotticcarcinomasameassupraglotticcarcinoma(2)glotticcarcinoma34CarcinomainsituoftheleftvocalcordCarcinomainsituoftheleft35CarcinomaoftheanteriorglottisCarcinomaoftheanteriorglot36SquamouscellcarcinomaofthearyepiglotticfoldandpiriformsinusSquamouscellcarcino