Rosoff P M, McGregor L M
Division of Hematology-Oncology, Duke University Medical Center, Durham, NC 27710, USA.
Pediatr Hematol Oncol. 2000 Oct-Nov;17(7):591-5. doi: 10.1080/08880010050122861.
A case report is presented of an 8-year-old boy who underwent resection of a thyroglossal duct cyst to illustrate a rare, but significant, complication of a common clinical problem. Pathological examination revealed that it contained a papillary adenocarcinoma of the thyroid, presumably arising from ectopic glandular tissue in the cyst. Thyroglossal duct cysts are a common cause of midline neck masses in children. Occult thyroid carcinoma is a rare co-morbid finding. It infrequently leads to death, but thyroglossal duct cysts may also contain the only functioning, albeit ectopic, thyroid tissue. Patients with clinical thyroglossal duct cysts should be carefully evaluated preoperatively for the presence of tumor and other functioning thyroid tissue prior to excision of the cyst.
本文报告一例8岁男孩，其因切除甲状舌管囊肿而出现一种罕见但严重的常见临床问题并发症。病理检查显示囊肿内含有甲状腺乳头状腺癌，推测起源于囊肿内的异位腺组织。甲状舌管囊肿是儿童中线颈部肿块的常见原因。隐匿性甲状腺癌是一种罕见的合并症。它很少导致死亡，但甲状舌管囊肿也可能包含唯一有功能的异位甲状腺组织。临床诊断为甲状舌管囊肿的患者在切除囊肿前应仔细进行术前评估，以确定是否存在肿瘤和其他有功能的甲状腺组织。
