甲状舌管囊肿乳头状癌

Balalaa N, Megahed M, Ashari M Al, Branicki F

Department of Surgery, Tawam Hospital in Affiliation with Johns Hopkins Medicine, Al Ain, United Arab Emirates.

Case Rep Oncol. 2011 Jan 29;4(1):39-43. doi: 10.1159/000324405.

Thyroglossal duct cysts are usually located in the midline of the neck. The coexistence of carcinomas in thyroglossal duct cysts is extremely rare, with most being papillary carcinomas. Usually, the diagnosis is only made postoperatively after excision of the cyst. Although the Sistrunk procedure is often regarded as adequate, controversies exist concerning the need for thyroidectomy depending on histopathological findings. We report the case of a 31-year-old man diagnosed with papillary carcinoma within a thyroglossal duct cyst, who underwent total thyroidectomy as has been recommended for differentiated papillary cancer.

甲状舌管囊肿通常位于颈部中线。甲状舌管囊肿合并癌极为罕见，大多数为乳头状癌。通常，只有在囊肿切除术后才能做出诊断。尽管Sistrunk手术通常被认为是足够的，但对于是否需要根据组织病理学结果进行甲状腺切除术仍存在争议。我们报告一例31岁男性病例，该患者被诊断为甲状舌管囊肿内的乳头状癌，按照分化型乳头状癌的推荐方案接受了全甲状腺切除术。