Møller H, Andreassen U K
Ore-naese-halsafdeling E., Københavns Amts Sygehus i Gentofte.
Ugeskr Laeger. 1992 Dec 7;154(50):3597-9.
Of 59 patients with tonsillar carcinoma, eight presented with a cervical cyst which was judged to be a branchial cyst clinically and after fine needle aspiration. In all cases, the cyst was removed and microscopic examination revealed malignancy. The correct diagnosis, carcinoma of the tonsil with cystic lymph node metastasis, was revealed during the primary operation in two cases, in four cases the diagnosis was made at a second operation where ipsilateral tonsillectomy was performed and in two cases the diagnosis was first made several years later. It is concluded that, in patients who are over the age of 40 years, the diagnosis of branchial cyst should not be accepted primarily even if fine needle aspiration does not give any suspicion of malignancy.
在59例扁桃体癌患者中，有8例出现颈部囊肿，经临床判断及细针穿刺抽吸后被判定为鳃裂囊肿。所有病例中，囊肿均被切除，显微镜检查显示为恶性。在2例患者的初次手术中揭示了正确诊断，即扁桃体癌伴囊性淋巴结转移；4例患者在第二次手术（行同侧扁桃体切除术）时确诊；2例患者在数年后才首次确诊。结论是，对于40岁以上的患者，即使细针穿刺抽吸未提示任何恶性怀疑，也不应首先接受鳃裂囊肿的诊断。
