Bourguignat E, Laccourreye O, Bassereau G, Paquelin F
Service ORL, Hôpital Laënnec, Paris.
Ann Otolaryngol Chir Cervicofac. 1991;108(1):21-5.
Two new cases of thyroglossal cyst carcinoma are reported. Such cancers concern rather young women. The diagnosis must be suspected whenever a thyroglossal cyst is associated with cervical adenopathies. The most performing investigation seems to be fine-needle aspiration guided by echography. The malignant diagnosis is made during surgery by frozen section of the lesion, confirmed by histology. Two type of cancer must be distinguished: squamous cell carcinoma and carcinoma of thyroid type. The management of squamous cell carcinoma includes a large resection. For thyroid type carcinomas, total thyroidectomy and bilateral neck dissection are to be considered. Because of up-to-date insufficiency following, it is difficult to make a prognosis.
报告了两例甲状舌管囊肿癌新病例。此类癌症多见于年轻女性。当甲状舌管囊肿伴有颈部淋巴结病时，必须怀疑有此类癌症。最有效的检查似乎是超声引导下的细针穿刺抽吸。通过病变的冰冻切片在手术中做出恶性诊断，并经组织学证实。必须区分两种类型的癌症：鳞状细胞癌和甲状腺型癌。鳞状细胞癌的治疗包括广泛切除。对于甲状腺型癌，应考虑行甲状腺全切除术和双侧颈部淋巴结清扫术。由于后续随访资料不足，难以做出预后判断。
