[儿童舌囊肿：前肠重复畸形，一种可能的诊断]
[Tongue cyst in children: foregut duplication, a possible diagnosis].
作者信息
Blanchard M, Kadlub N, Boudjemaa S, Cassier S, Garel C, Audry G, Vazquez M-P, Picard A
机构信息
Service de chirurgie maxillofaciale et plastique, faculté de médecine Pierre-et-Marie-Curie, Paris-6, hôpital d'enfant Armand-Trousseau, groupe hospitalier HUPE, AP-HP, 26, rue du Docteur-Arnold-Netter, 75571 Paris cedex 12, France.
出版信息
Rev Stomatol Chir Maxillofac. 2012 Dec;113(6):442-7. doi: 10.1016/j.stomax.2012.01.001. Epub 2012 Feb 18.
INTRODUCTION
Foregut duplication is a heterotopy of the digestive mucosa. The tongue localization is relatively uncommon, it presents as a cystic lesion. We report a series of five patients presenting with cysts of the tongue.
PATIENTS AND METHODS
This retrospective study was made on cases of foregut duplication of the lingual area, diagnosed between 1977 and 2008. We documented the patient's age, gender, symptoms, lesion localization, clinical radiological and pathological features, treatment, and outcome.
RESULTS
Four boys and one girl were included. Two cysts were diagnosed during antenatal screening, two during early infancy, and one at the age of 12 (after infectious complication). In every case, the diagnosis could be confirmed only after surgical removal.
DISCUSSION
Foregut duplication of the tongue is rare and its incidence is probably underestimated. This diagnosis should be suggested in case of congenital intraoral cysts. Treatment is surgical excision, and pathological examination confirms the diagnosis.
引言
前肠重复畸形是消化黏膜的异位。舌部定位相对少见，表现为囊性病变。我们报告了一系列5例舌部囊肿患者。
患者与方法
本回顾性研究针对1977年至2008年间诊断的舌部区域前肠重复畸形病例。我们记录了患者的年龄、性别、症状、病变定位、临床影像学和病理学特征、治疗及结果。
结果
纳入4名男孩和1名女孩。2例囊肿在产前筛查时诊断，2例在婴儿早期诊断，1例在12岁时（感染并发症后）诊断。在每种情况下，只有在手术切除后才能确诊。
讨论
舌部前肠重复畸形罕见，其发病率可能被低估。对于先天性口腔内囊肿病例应考虑这一诊断。治疗方法是手术切除，病理检查可确诊。
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