Colombo Joshua R, Dagher Walid, Wein Richard O
Department of Otolaryngology-Head & Neck Surgery, Tufts Medical Center, Boston, MA.
Department of Otolaryngology-Head & Neck Surgery, Tufts Medical Center, Boston, MA.
Am J Otolaryngol. 2015 Jan-Feb;36(1):87-9. doi: 10.1016/j.amjoto.2014.08.013. Epub 2014 Aug 30.
We report a case of a 51-year-old woman who presented with a rapidly enlarging, painful, midline neck mass that developed over a three day period. A CT scan of the neck showed a solid circumscribed mass in the sternohyoid muscle. The initial differential diagnosis included inflammation of thyroglossal duct remnant, an abnormal lymph node, and thyroid carcinoma. The patient underwent operative excision with final pathology revealing proliferative myositis. Proliferative myositis is an uncommon benign proliferation of skeletal muscle and has only been reported a limited number of times in the head and neck region.
我们报告一例51岁女性病例，该患者出现一个迅速增大、疼痛的颈部中线肿块，在三天内形成。颈部CT扫描显示胸骨舌骨肌内有一个边界清晰的实性肿块。初步鉴别诊断包括甲状舌管残余炎症、异常淋巴结和甲状腺癌。患者接受了手术切除，最终病理显示为增生性肌炎。增生性肌炎是一种罕见的骨骼肌良性增生，仅在头颈部区域有有限次数的报道。
