임상

후두의 기저양 편평세포암 1례

태경1, 이형석1, 최석주1, 장세진2
Kyung Tae1, Hyung Seok Lee1, Suk Joo Choi1, Se Jin Jang2
Author Information & Copyright
1한양대학교 의과대학 이비인후과학교실
2병리학교실
1Department of Otolaryngology - Head and Neck surgery & Pathology, College of Medicine, Hanyang University
2Department of Otolaryngology - Head and Neck surgery & Pathology, College of Medicine, Hanyang University

© Copyright 1997 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Basaloid squamous carcinoma(BSC) is a rare tumor with distinct morphologic and biologic features that separates it from the more common squamous cell carcinomas of the head and neck region. Basaloid squamous carcinoma strongly predilects the hypopharynx, base of tongue, supraglottic larynx, or tonsil and frequently is accompanied by cervical lymph node metastasis. It is characterized histologically by small, crowded basaloid cells with many small cystic spaces,focal squamous differentiation in basaloid clusters, and prominent intercellular hyalinosis. Treatment of BSC is smilar to that of conventional squamous cell carcinoma. Nevertheless, BSC should be distinguished from other squamous cell carcinomas, because of its typically high stage at presentation and distinctive microscopic appearance with potential for diagnostic confusion.

Recently authors experienced one case of basaloid squamous cell carcinoma of supraglottis. We report our case with brief review of literature.

Keywords: Basaloid squamous cell carcinoma; Supraglottis


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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