Slater Jacqueline, Serpell Jonathan W, Woodruff Stacey, Grodski Simon
Breast, Endocrine and General Surgical Unit, The Alfred Hospital and Monash University, Commercial Road, Melbourne, Victoria, Australia.
ANZ J Surg. 2012 Jan-Feb;82(1-2):42-5. doi: 10.1111/j.1445-2197.2011.05666.x. Epub 2011 Feb 15.
Successful preoperative diagnosis of a branchial cyst requires a systematic approach. The aim of this study was to evaluate methods of investigation of a lateral neck swelling suspicious for a branchial cyst, and to highlight cases where a less benign cause for the swelling should be suspected and therefore management altered appropriately.
A retrospective case study of 24 patients with presumed branchial cysts managed operatively was undertaken. Demographic, clinical, imaging, cytology and histopathological data were analysed to formulate an approach to the work-up of a lateral neck swelling suspected to be a branchial cyst.
All 24 patients presented with a lateral neck mass thought to be a branchial cyst preoperatively underwent preoperative fine-needle aspiration cytology. The overall accuracy of cytology in predicting a benign branchial cyst histopathologically was 83.3% (20 out of 24).
Successful preoperative diagnosis of a branchial cyst requires a combination of imaging and cytology. If there is concern that a lateral neck swelling is not a branchial cyst on clinical, imaging or cytological features, then a full preoperative work-up, including computed tomography scan of the neck and upper aero-digestive tract endoscopy should be performed, prior to an excisional biopsy.
鳃裂囊肿的术前成功诊断需要系统的方法。本研究的目的是评估对疑似鳃裂囊肿的颈部外侧肿胀进行检查的方法，并强调应怀疑肿胀有非良性病因从而适当改变治疗方法的病例。
对24例接受手术治疗的疑似鳃裂囊肿患者进行回顾性病例研究。分析人口统计学、临床、影像学、细胞学和组织病理学数据，以制定对疑似鳃裂囊肿的颈部外侧肿胀进行检查的方法。
所有24例术前被认为是鳃裂囊肿的颈部外侧肿块患者均接受了术前细针穿刺细胞学检查。细胞学在组织病理学上预测良性鳃裂囊肿的总体准确率为83.3%（24例中的20例）。
鳃裂囊肿的术前成功诊断需要影像学和细胞学相结合。如果根据临床、影像学或细胞学特征担心颈部外侧肿胀不是鳃裂囊肿，那么在进行切除活检之前，应进行全面的术前检查，包括颈部计算机断层扫描和上呼吸消化道内镜检查。
