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先天性梨状窝窦道表现为婴儿无症状颈部肿块。

Congenital piriform fossa sinus tract presenting as an asymptomatic neck mass in an infant.

作者信息

Bloom David A, Adler Brent H, Forsythe Robert C, Mutabagani Khaled, Teich Steven

机构信息

Department of Pediatric Imaging, Children's Hospital of Michigan, Wayne State University School of Medicine, 3901 Beaubien Boulevard, Detroit, MI 48201, USA.

出版信息

Pediatr Radiol. 2003 May;33(5):360-3. doi: 10.1007/s00247-003-0892-y. Epub 2003 Feb 26.

Abstract

BACKGROUND

A 5-month-old girl with an asymptomatic left-sided neck mass was demonstrated by ultrasound and upper gastrointestinal series (UGI), and confirmed at surgery, to have a congenital piriform fossa sinus tract (CPFST) that communicated with an intrathyroidal cyst.

OBJECTIVE

To demonstrate a case of CPFST presenting as an asymptomatic neck mass. Nearly all cases of CPFST present with infection or pain, making this case unique.

MATERIALS AND METHODS

Case report and review of the literature.

CONCLUSIONS

CPFST with an associated cyst should be added to the differential diagnosis of asymptomatic cystic neck masses in infants, especially if the cyst is intrathyroidal by ultrasound.

摘要

背景

一名5个月大的女童左侧颈部有一无症状肿块,经超声和上消化道造影(UGI)检查,并在手术中得到证实,其患有先天性梨状窝窦道(CPFST),该窦道与甲状腺内囊肿相通。

目的

展示一例表现为无症状颈部肿块的CPFST病例。几乎所有CPFST病例均表现为感染或疼痛,因此该病例具有独特性。

材料与方法

病例报告及文献复习。

结论

伴有相关囊肿的CPFST应纳入婴儿无症状性颈部囊性肿块的鉴别诊断中,尤其是当超声显示囊肿位于甲状腺内时。

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