Briggs Russell D, Pou Anna M, Schnadig Vicki J
Department of Otolaryngology, University of Texas Medical Branch, Galveston 77555-0521, USA.
Laryngoscope. 2002 Jun;112(6):1010-4. doi: 10.1097/00005537-200206000-00014.
There is controversy regarding the existence of branchial cleft carcinomas. The objectives are to familiarize the clinician with the presentation and treatment of cystic metastases from head and neck primary sites and differentiate these from primary branchial cleft cyst carcinomas.
Retrospective case study and literature review.
Published reports of branchial cleft carcinomas were reviewed in conjunction with a unique case presenting at the University of Texas Medical Branch (Galveston, TX).
Most cases of branchial cleft carcinomas are probably cystic metastases from head and neck primary sites. Cutaneous involvement with primary branchial cleft carcinomas is rare but may occur in recurrent lesions.
The diagnosis of a primary branchial cleft cyst carcinoma requires the fulfillment of strict criteria. Cystic metastases from head and neck primaries can mimic branchial cleft carcinomas histologically. Correct diagnosis is important so that appropriate surgical and radiotherapeutic treatment can be delivered.
关于鳃裂癌的存在存在争议。目的是让临床医生熟悉头颈部原发部位囊性转移瘤的表现和治疗，并将这些与原发性鳃裂囊肿癌区分开来。
回顾性病例研究和文献综述。
结合德克萨斯大学医学分校（德克萨斯州加尔维斯顿）出现的一例独特病例，对已发表的鳃裂癌报告进行回顾。
大多数鳃裂癌病例可能是头颈部原发部位的囊性转移瘤。原发性鳃裂癌累及皮肤的情况很少见，但可能发生在复发病变中。
原发性鳃裂囊肿癌的诊断需要满足严格标准。头颈部原发灶的囊性转移瘤在组织学上可模仿鳃裂癌。正确诊断很重要，以便能够进行适当的手术和放射治疗。
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