Yaman H, Durmaz A, Arslan H H, Ozcan A, Karahatay S, Gerek M
Department of Otorhinolaryngology, Gulhane Military Medical Academy, Ankara, Turkey.
B-ENT. 2011;7(4):267-71.
The aim of the study was to evaluate the clinical features and treatment outcomes of patients with a thyroglossal duct cyst (TGDC) or fistula.
The records of 49 patients (9 female, 40 male; mean age: 23.16 +/- 1.13 years; range 6 to 56 years) operated on between January 1995 and July 2009 were reviewed retrospectively. Patient's age, sex, duration of symptoms, clinical features, pre-operative diagnostic tests, treatment, histopathologic diagnosis, and post-operative complications were noted. All patients underwent the Sistrunk procedure.
Fifteen patients (30.6%) were < or = 20 years old, while 3 (6.1%) patients were 40 years old at the time of operation. There was cyst formation in 26 patients (53.1%) and fistula formation in 23 patients (46.9%). The lesions of 41 patients (83.7%) were located in the midline, while the lesions of 8 patients (16.3%) were located in the paramedian neck (5 left side, 3 right side). The most common presenting symptoms were painless mass in the midline of the neck and recurrent suppuration of fistula formation. Neck ultrasonography (USG) was the most common pre-operative diagnostic procedure and was performed on all patients with cyst formations. There were no major complications postoperatively. There was recurrence in only one patient after the Sistrunk procedure. One patient was incidentally diagnosed with thyroid papillary carcinoma after histopathological examination.
A TGDC is the most common congenital mass in the neck and is usually located midline. USG is suggested for a clinically suspected TGDC. The Sistrunk procedure is a safe and successful technique with low complication and recurrence rates. Even though carcinomas arising in TGDCs are uncommon, histopathological examination must be routinely performed to confirm the diagnosis and rule out malignancy.
本研究旨在评估甲状舌管囊肿（TGDC）或瘘管患者的临床特征及治疗效果。
回顾性分析1995年1月至2009年7月间接受手术治疗的49例患者（9例女性，40例男性；平均年龄：23.16±1.13岁；年龄范围6至56岁）的病历。记录患者的年龄、性别、症状持续时间、临床特征、术前诊断检查、治疗方法、组织病理学诊断及术后并发症。所有患者均接受了Sistrunk手术。
15例患者（30.6%）年龄≤20岁，3例患者（6.1%）手术时年龄≥40岁。26例患者（53.1%）形成囊肿，23例患者（46.9%）形成瘘管。41例患者（83.7%）的病变位于中线，8例患者（16.3%）的病变位于颈部旁正中（左侧5例，右侧3例）。最常见的症状是颈部中线无痛性肿块及瘘管反复化脓。颈部超声检查（USG）是最常见的术前诊断方法，所有囊肿形成患者均接受了该项检查。术后无严重并发症。Sistrunk手术后仅1例患者复发。1例患者经组织病理学检查偶然诊断为甲状腺乳头状癌。
甲状舌管囊肿是颈部最常见的先天性肿块，通常位于中线。对于临床怀疑甲状舌管囊肿的患者，建议进行超声检查。Sistrunk手术是一种安全、成功的技术，并发症和复发率低。尽管甲状舌管囊肿发生癌变并不常见，但必须常规进行组织病理学检查以确诊并排除恶性肿瘤。
