Daoud Faiez S
Department of General Surgery, Jordan University Hospital, Amman, Jordan.
Asian J Surg. 2005 Jul;28(3):174-8.
To study the clinical presentations, diagnosis and management of patients with the pathological diagnosis of branchial cysts.
This was a retrospective analysis of the records of 33 patients with the diagnosis of branchial cyst, seen between 1987 and 2003 at the General Surgical Unit of Jordan University Hospital.
Thirty-four cases of branchial cysts were seen in 33 patients: 22 females and 11 males. There was a wide range in age (1-57 years), but the majority (25 patients) were in their second or third decades of life. Thirty-one cysts occurred in the classical site. The same number of branchial cysts occurred on the right and left sides of the neck (17 on the right and 17 on the left). Correct clinical diagnosis was made in only 14 cases (41.2%).
Branchial cysts are frequently incorrectly diagnosed and forgotten in the differential diagnosis. Thus, the diagnosis is often delayed, resulting in the mismanagement of these patients. Branchial cyst should be suspected in any patient with a swelling in the lateral aspect of the neck, regardless of whether the swelling is solid or cystic, painful or painless. Fine needle aspiration cytology will accurately demonstrate the cystic nature. The presence of cholesterol crystals and/or epithelial cells in the aspirate will suggest the diagnosis of branchial cyst.
研究经病理诊断为鳃裂囊肿患者的临床表现、诊断及处理方法。
对1987年至2003年在约旦大学医院普通外科就诊的33例诊断为鳃裂囊肿的患者病历进行回顾性分析。
33例患者共发现34个鳃裂囊肿：女性22例，男性11例。年龄范围跨度较大（1 - 57岁），但大多数（25例患者）处于第二或第三个十年。31个囊肿位于经典部位。颈部左右两侧鳃裂囊肿数量相同（右侧17个，左侧17个）。仅14例（41.2%）做出了正确的临床诊断。
鳃裂囊肿在鉴别诊断中常被误诊或漏诊。因此，诊断往往延迟，导致对这些患者的处理不当。对于任何颈部外侧有肿物的患者，无论肿物是实性还是囊性、疼痛与否，均应怀疑鳃裂囊肿。细针穿刺细胞学检查将准确显示囊肿性质。抽吸物中存在胆固醇结晶和/或上皮细胞提示鳃裂囊肿的诊断。
