Gandhi Rahul A, Bhowate Rahul, Degweker Shirish, Bhake Arvind
Oral Diagnosis Medicine and Radiology, Sharad Pawar Dental College & Hospital, DMIMS University, Sawangi, Wardha 442004, India.
Case Rep Dent. 2011;2011:978263. doi: 10.1155/2011/978263. Epub 2011 Aug 24.
Thyroglossal duct cyst presents most frequently in the midline of the neck, either at or just below the level of the hyoid bone. They generally manifest as painless neck swelling, and they move on protrusion of tongue and during swallowing. A case of thyroglossal cyst was reported in the left submandibular region in a 14-year-old girl, above the level of hyoid bone; ultrasound examination favored a cystic lesion which moved in a vertical fashion on swallowing whereas fine needle aspiration cytology report was suggestive of simple cystic lesion of thyroglossal cyst. No lymphoid or malignant cells were present. The cyst was excised completely by surgical procedure under general anesthesia. Histopathological analysis revealed thyroglossal cyst showing columnar and flattened epithelium of cyst with focal aggregate of chronic inflammatory cells supported by fibrocollagenous cyst wall. The clinical, ultrasound, and histopathological findings suggested that the lesion was an infected thyroglossal cyst. There was no evidence of recurrence 6 months after surgery.
甲状舌管囊肿最常出现在颈部中线，位于舌骨水平或其下方。它们通常表现为无痛性颈部肿胀，在伸舌和吞咽时会移动。一名14岁女孩的左侧下颌下区域报告了一例甲状舌管囊肿，位于舌骨水平上方；超声检查显示为囊性病变，吞咽时呈垂直移动，而细针穿刺细胞学报告提示为甲状舌管囊肿的单纯囊性病变。未见淋巴细胞或恶性细胞。在全身麻醉下通过手术将囊肿完全切除。组织病理学分析显示甲状舌管囊肿，囊肿壁为纤维胶原性，囊肿内衬柱状和平扁上皮，伴有局灶性慢性炎症细胞聚集。临床、超声和组织病理学检查结果提示该病变为感染性甲状舌管囊肿。术后6个月无复发迹象。
