Delank K W, Freytag G, Stoll W
Hals-Nasen-Ohrenklinik der Universität Münster.
Laryngorhinootologie. 1992 Dec;71(12):611-7. doi: 10.1055/s-2007-997367.
We analyzed 7 patients with so called "maligne lateral cervical cysts" regarding the controversies in the literature. Primary tumors of oropharyngeal sites were discovered in all these cases of "branchiogenic carcinoma" rising the final diagnosis of cystic metastases. Diagnostic tonsillectomy is supposed to be important to solve this problem of differential diagnosis. The issue of malignant transformation in cysts of branchial cleft origin has to be recognized as being an oncological artifact. We argue that the "maligne lateral cervical cyst" does'nt exist as a proper entity. In analogy to the principles of the treatment of oropharyngeal cancer ipsilateral neck dissection and wide local excision of the cyst followed by radiation therapy is the suggested plan of therapeutic management. Search for a possible unknown primary tumor within the oropharynx must be continued over years.
我们针对文献中的争议，分析了7例所谓的“恶性侧颈囊肿”患者。在所有这些“鳃源性癌”病例中均发现了口咽部位的原发性肿瘤，最终诊断为囊性转移瘤。诊断性扁桃体切除术对于解决这一鉴别诊断问题至关重要。鳃裂起源囊肿的恶性转化问题必须被视为一种肿瘤学假象。我们认为“恶性侧颈囊肿”并非一个确切的实体。按照口咽癌的治疗原则，建议的治疗方案是同侧颈部清扫术、囊肿广泛局部切除术，随后进行放射治疗。必须持续多年寻找口咽内可能存在的未知原发性肿瘤。
