Begbie F, Visvanathan V, Clark L J
ENT Department,Southern General Hospital,Glasgow,Scotland,UK.
J Laryngol Otol. 2015 Feb;129(2):174-8. doi: 10.1017/S0022215115000067. Epub 2015 Feb 16.
Branchial cleft cysts occur because of a failure of involution of the second branchial cleft. However, as well-differentiated squamous cell carcinoma can mimic branchial cleft cysts, there is a lack of consensus on the appropriate management of cystic neck lumps.
To report our experience of fine needle aspiration cytology and frozen section examination in the management of cystic neck lumps.
Retrospective case note review of patients managed in the Southern General Hospital, Scotland, UK.
The sensitivity of fine needle aspiration cytology and frozen section for detecting branchial cleft cysts was 75 per cent and 100 per cent respectively. Two patients who did not undergo intra-operative frozen section examination were either over- or under-treated, which is discussed.
Adult patients subjected to surgical excision of a suspected branchial cyst should undergo intra-operative frozen section analysis regardless of clinical suspicion for malignancy. This part of management is critical to ensure patients are offered appropriate treatment.
鳃裂囊肿是由于第二鳃裂退化不全所致。然而，高分化鳞状细胞癌可类似鳃裂囊肿，因此对于颈部囊性肿块的恰当处理尚无共识。
报告我们在颈部囊性肿块处理中进行细针穿刺细胞学检查和冰冻切片检查的经验。
对在英国苏格兰南部总医院接受治疗的患者进行回顾性病例记录审查。
细针穿刺细胞学检查和冰冻切片检测鳃裂囊肿的敏感性分别为75%和100%。讨论了2例未进行术中冰冻切片检查的患者接受过度治疗或治疗不足的情况。
无论临床对恶性肿瘤的怀疑程度如何，接受疑似鳃裂囊肿手术切除的成年患者均应进行术中冰冻切片分析。这一处理环节对于确保为患者提供恰当治疗至关重要。
