Ambrosi A, Fersini A, Tartaglia N, De Fazio M, Cignarelli M, Neri V
Chirurgia Generale II, Cattedra di Endocrinochirurgia, Università degli Studi di Foggia.
G Chir. 2002 Apr;23(4):129-33.
The thyroglossal duct cyst is the most common anomaly in thyroid development. To date, approximately 250 cases have been reported, the majority being papillary thyroid carcinomas. In most cases the diagnosis is established only after excision of a clinically benign thyroglossal duct cyst. Controversies exist in relation to a rational and effective therapeutic approach. A further case of thyroglossal duct papillary carcinoma affecting a 52 years-old man is presented to highlight the clinicopathological features of this condition. FNAC resulted false negative. Surgery consisted in a Sistrunk procedure, followed by total thyroidectomy and central lymphectomy after definitive histological diagnosis. In view of the prolonged course of papillary carcinoma, long-term follow-up is mandatory.
甲状舌管囊肿是甲状腺发育中最常见的异常。迄今为止,已报道约250例,大多数为甲状腺乳头状癌。在大多数情况下,只有在切除临床诊断为良性的甲状舌管囊肿后才能确诊。关于合理有效的治疗方法存在争议。本文报告了一例52岁男性甲状舌管乳头状癌病例,以突出该疾病的临床病理特征。细针穿刺抽吸活检(FNAC)结果为假阴性。手术采用Sistrunk手术,在明确组织学诊断后进行全甲状腺切除和中央淋巴结清扫。鉴于乳头状癌病程较长,必须进行长期随访。