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[儿童支气管源性颈囊肿]

[Bronchogenic cervical cyst in a child].

作者信息

Borgnat F, Lupu Bratiloveanu P, Gyenes C, Le Bescond Y

机构信息

Service de Chirurgie Maxillofaciale et Plastique, CHU Nord, Avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France.

出版信息

Rev Stomatol Chir Maxillofac. 2011 Feb;112(1):54-6. doi: 10.1016/j.stomax.2011.01.001. Epub 2011 Feb 3.

Abstract

INTRODUCTION

The bronchogenic cyst is a rare congenital malformation of the tracheobronchial tree. Ectopic bronchogenic cysts are extremely rare; they usually develop at the cervical level. This cyst is characterized by the presence of respiratory epithelium.

OBSERVATION

A 5-year-old child was referred to maxillofacial surgery consultation because a right bronchial cyst was suspected. The radiological assessment suggested a thyroglossal tract cyst. The anatomopathological examination confirmed the cyst and lead to the final diagnosis of a dysembryoplastic bronchogenic cyst.

DISCUSSION

A bronchogenic cyst is rarely found at the cervical level. When this is the case, its embryological origin and management may be discussed. The preoperative diagnosis may be complex with no clinical or non-specific symptomatology. A complete excision of the lesion must be performed to reduce the risk of recurrence and malignant transformation.

摘要

引言

支气管源性囊肿是气管支气管树罕见的先天性畸形。异位支气管源性囊肿极为罕见;它们通常在颈部形成。这种囊肿的特征是存在呼吸上皮。

病例报告

一名5岁儿童因疑似右侧支气管囊肿被转诊至颌面外科会诊。影像学评估提示甲状舌管囊肿。解剖病理学检查确诊了囊肿,并最终诊断为发育异常性支气管源性囊肿。

讨论

支气管源性囊肿很少在颈部发现。当出现这种情况时,可能会对其胚胎学起源和治疗方法进行讨论。术前诊断可能很复杂,因为没有临床症状或症状不具特异性。必须对病变进行完整切除,以降低复发和恶变风险。

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