Valverde C, Lam J, Ibáñez P, Cruzat C
Rev Med Chil. 1999 Sep;127(9):1108-11.
Neck located hydatid cysts are of rare occurrence. We report two patients with such condition. A 66 years old male with a slowly progressive painless 4 cm nodule located in the right thyroid. It did not concentrate 131I and a fine needle aspiration cytology was informed as an acute thyroiditis. A 5 years old boy presented with a 5 cm painless right submaxillary cyst. Ultrasound examination showed that it was unilocular, and fine needle aspiration biopsy disclosed unspecific findings. In both cases surgical findings and the pathological study showed hydatid cysts. Both patients had normal chest x ray and abdominal ultrasound examinations. They had an uneventful postoperative evolution. Echinococcosis must be considered in the differential diagnosis of cervical cysts in endemic area.
颈部包虫囊肿较为罕见。我们报告两例此类病例。一名66岁男性,右侧甲状腺有一个4厘米大小、缓慢进展的无痛性结节。该结节不摄取131I,细针穿刺细胞学检查提示为急性甲状腺炎。一名5岁男孩,右侧颌下有一个5厘米大小的无痛性囊肿。超声检查显示为单房性,细针穿刺活检未发现特异性结果。两例手术所见及病理研究均显示为包虫囊肿。两名患者胸部X线和腹部超声检查均正常。术后恢复顺利。在流行地区,颈部囊肿的鉴别诊断中必须考虑棘球蚴病。