Buła Grzegorz, Waler Janusz, Niemiec Andrzej, Mucha Ryszard, Gawrychowski Jacek
Pol Przegl Chir. 2012 Sep;84(9):445-8. doi: 10.2478/v10035-012-0075-3.
was to present clinical picture, indications for surgery, immediate and remote results of surgical treatment for lateral and median cysts of the neck.
A total of 17247 patients were operated between 1 January 1990 and 31 December 2011 for neck tumors.
Neck cysts were diagnosed in 34 (0.2%) patients, including lateral in 12 (35.3%) and median in 22 (64.7%). Lateral cyst once descended to the mediastinal. Nodular goitres were diagnosed in 17 (50%) of them--with the lateral cysts 4x and median cysts 13x. Guided fine-needle aspiration biopsy of the cyst-like lesions revealed the presence of protein masses in all patients. The lesions were found to have inflammatory character in 6 patients (17.6%) regarding median cysts (5x) or lateral cyst (1x). Out of them, 3 patients developed purulent inflammatory process. All patients were operated. The operation consisted of radical resection of the cyst only or plus partial resection of both thyroid lobes and total resection of pyramidal lobe if concomitant goitre was found. Two patients required one-stage resection of the enlarged lymph nodes in the neck. Suspected focus of thyroid papillary cancer was found by intra-operative examination in neck median cyst wall in one patient. However, paraffin tests did not confirm the suspicion. Another patient was found by histopathological examination to have active tuberculotic process within both lateral cyst and lymph nodes. The patient received intensive antituberculotic treatment postoperatively.
旨在呈现颈部外侧和正中囊肿的临床表现、手术指征以及手术治疗的近期和远期结果。
1990年1月1日至2011年12月31日期间，共有17247例患者接受了颈部肿瘤手术。
34例（0.2%）患者被诊断为颈部囊肿，其中12例（35.3%）为外侧囊肿，22例（64.7%）为正中囊肿。1例外侧囊肿延伸至纵隔。其中17例（50%）诊断为结节性甲状腺肿——外侧囊肿患者中有4例，正中囊肿患者中有13例。对囊肿样病变进行细针穿刺活检，结果显示所有患者均存在蛋白性肿块。在6例患者（17.6%）中，病变具有炎症特征，其中5例为正中囊肿，1例为外侧囊肿。其中3例患者发生了化脓性炎症。所有患者均接受了手术。手术方式包括单纯囊肿根治性切除，或若发现合并甲状腺肿，则加行双侧甲状腺叶部分切除及锥状叶全切除。2例患者需要一期切除颈部肿大淋巴结。术中检查发现1例颈部正中囊肿壁疑似甲状腺乳头状癌病灶。然而，石蜡切片检查未证实该怀疑。另1例患者经组织病理学检查发现外侧囊肿及淋巴结内存在活动性结核病灶。该患者术后接受了强化抗结核治疗。
