Glosser Jeffrey W, Pires Carlos Alberto S, Feinberg Stephen E
University of Michigan Medical Center, Ann Arbor 48109-0018, USA.
J Am Dent Assoc. 2003 Jan;134(1):81-6. doi: 10.14219/jada.archive.2003.0020.
The cervical lymphoepithelial or branchial cleft cyst is a developmental cyst that has a disputed pathogenesis. The objective of this article is to provide a brief review of the literature and to define diagnostic terms related to this anomaly, as well as to describe its etiology, clinical presentation and treatment.
The cervical lymphoepithelial or branchial cleft cyst usually presents as a unilateral, soft-tissue fluctuant swelling that typically appears in the lateral aspect of the neck, anterior to the sternocleidomastoid muscle, and becomes clinically evident late in childhood or in early adulthood. Clinicians can diagnose the cyst with appropriate imaging to assess the extent of the lesion before definitive surgical treatment. The authors describe a patient who underwent excision of a well-encapsulated cystic structure that was diagnosed as a branchial cleft cyst.
The cervical lymphoepithelial or branchial cleft cyst can be easily misdiagnosed as a parotid swelling or odontogenic infection. It is imperative that clinicians make an accurate diagnosis so that appropriate treatment (that is, surgical excision) can be performed. If the cysts are treated properly, recurrences are rare.
颈部淋巴上皮囊肿或鳃裂囊肿是一种发病机制存在争议的发育性囊肿。本文的目的是对相关文献进行简要综述，明确与该异常相关的诊断术语，并描述其病因、临床表现及治疗方法。
颈部淋巴上皮囊肿或鳃裂囊肿通常表现为单侧软组织波动性肿胀，常见于颈部侧面，胸锁乳突肌前方，在儿童晚期或成年早期变得明显。临床医生可通过适当的影像学检查来诊断囊肿，以便在进行确定性手术治疗前评估病变范围。作者描述了一名接受手术切除一个被诊断为鳃裂囊肿的包膜完整的囊性结构的患者。
颈部淋巴上皮囊肿或鳃裂囊肿容易被误诊为腮腺肿胀或牙源性感染。临床医生必须做出准确诊断，以便进行适当的治疗（即手术切除）。如果囊肿得到妥善治疗，复发很少见。
