七年制医学ppt课件耳鼻喉4喉癌

1.Preface(1)The most commonest carcinoma in the larynx(1)The most commonest carcinoma in the larynx(2)The great difference from place to place(2)The great difference from place to place(3)The great difference between male and female(3)The great difference between male and female male:female 10:1 male:female 10:1(4)The most dangerous age:5070(4)The most dangerous age:50701.Preface喉 癌 12.Etiology,unclear(1)smoking(2)drinking(3)air containtment(4)virus infection HPV(5)hormone(6)pre-malignant leisions(癌前病变)papilloma of the larynx(喉乳头状瘤)leukoplakia of the larynx(喉白班病)2.Etiology,unclear2正正 常常 喉喉 部部正 常 喉 部3七年制医学ppt课件耳鼻喉4喉癌4Multiple papillomas of the larynxMultiple papillomas of the lar5Papillomatosis of the larynxPapillomatosis of the larynx6Papilloma of the larynxPapilloma of the larynx7Papilloma of the larynx and tracheaPapilloma of the larynx and tr8Leukoplakia with dysplasia of the vocal cordsLeukoplakia with dysplasia of 9 Chronic parakeratotic laryngitis Chronic parakeratotic laryngi103.Pathology 93%99%squamous cell carcinoma better differentiated(I-II)4.Clinical symptoms and signs supraglottic carcinoma 声门上型癌 glottic carcinoma 声门型癌 subglottic carcinoma 声门下型癌3.Pathology11(1)supraglottic carcinomaA.early stage:(atypical)haemoptysis(痰中带血)Sore throat（喉痛）Irritating cough(刺激性咳嗽)B.later stage:Hoarsness（声嘶）Dyspnea（呼吸困难）C.easily lymph node matastases(淋巴结转移)(1)supraglottic carcinoma12 Carcinoma of the epiglottis Carcinoma of the epiglotti13Advanced squamous cell carcinoma of the larynxAdvanced squamous cell carcino14(2)glottic carcinoma A.early stage hoarsness B.later stage dyspnea(呼吸困难)C.difficulty matastases(3)sybglottic carcinoma same as supraglottic carcinoma(2)glottic carcinoma15Carcinoma in situ of the left vocal cordCarcinoma in situ of the left 16Carcinoma of the anterior glottisCarcinoma of the anterior glot17Squamous cell carcinoma of thearyepiglottic fold and piriform sinusSquamous cell carcinoma of the185.Diaglosis biopsy（活检）（活检）x-ray、CT-scan、MRI6.Treatment(1)operation(手术手术)partial laryngectomy（部分喉切除术）（部分喉切除术）total laryngectomy（全喉切除术）（全喉切除术）(2)radiatherapy（放射治疗）（放射治疗）(3)chemotherapy（化学治疗）（化学治疗）5.Diaglosis19