Rak J, Pośpiech L, Jabłonka L
Katedra i Klinika Otolaryngologiczna AM we Wrocławiu.
Otolaryngol Pol. 2000;54 Suppl 31:123-6.
Lateral branchiogenic cysts are relatively rare among neck tumours. However they belong to the most frequent developmental malformation in this area. Their etiology and pathogenesis is not fully explained yet. Over the period of ten years there were 76 patients hospitalized in our clinic with the diagnosis of the lateral branchiogenic cyst. Its prevalence was similar in both sexes and ranged from 3 months to 62 years of age. More than half of the patients were children. In 2 cases, a rare primary cancer rising from a branchiogenic cyst was diagnosed. Positive family history was observed in two children. Surgery was performed in 59 patients. Unsatisfactory results of the surgery were noted in 6 cases and 4 of them were reoperated because of the recurrence. In the case of brachiogenic cysts a full oncologic diagnostics should be performed, as it is done with neck tumour management. The procedures, which enable us to estimate character and extent of a lesion and determine the proper surgical treatment, should include ultrasonography, fine-needle biopsy or CT.
侧方鳃裂囊肿在颈部肿瘤中相对少见。然而,它们却是该区域最常见的发育畸形。其病因和发病机制尚未完全阐明。在十年间,我院有76例患者因诊断为侧方鳃裂囊肿而住院。其患病率在男女中相似,年龄范围从3个月至62岁。超过半数患者为儿童。有2例诊断出罕见的起源于鳃裂囊肿的原发性癌症。在两名儿童中观察到阳性家族史。59例患者接受了手术。6例手术结果不理想,其中4例因复发而再次手术。对于鳃裂囊肿,应像处理颈部肿瘤一样进行全面的肿瘤学诊断。能够让我们评估病变特征和范围并确定合适手术治疗的检查程序应包括超声检查、细针穿刺活检或CT。