Segal N, Schneider S, Parra A S, Benharroch D
B-ENT. 2016;12(1):67-71.
Nasopharyngeal branchial cleft cysts are rare, and only case reports have been published. We present a patient whose nasopharyngeal cyst contained a malignant lymphoma, and we review previous reports of this condition.
Case report with a relevant literature review.
Sixteen case reports of nasopharyngeal branchial cleft cysts in 24 patients were included. The average age was 36 years; most cysts were on one side. Five patients underwent aspiration, 18 underwent surgery. The cyst wall was lined by stratified squamous epithelium in seven patients and by ciliated colomunar epithelium in 14. All previous cysts showed benign pathology. Our case is the first report of a malignant disease hidden in a nasopharyngeal branchial cleft cyst.
To our knowledge, malignant lymphoma in a nasopharyngeal branchial cleft cyst has not been reported previously. Nevertheless, the possibility of this finding should be kept in mind when evaluating patients with nasopharyngeal cystic lesions.
鼻咽部鳃裂囊肿罕见，仅有病例报告发表。我们报告1例鼻咽部囊肿内含有恶性淋巴瘤的患者，并回顾此前关于该疾病的报道。
病例报告并进行相关文献复习。
纳入24例患者的16篇鼻咽部鳃裂囊肿病例报告。平均年龄为36岁；多数囊肿位于一侧。5例患者接受了穿刺抽吸，18例接受了手术。7例患者的囊肿壁内衬复层鳞状上皮，14例内衬纤毛柱状上皮。既往所有囊肿均显示良性病理结果。我们的病例是首例隐匿于鼻咽部鳃裂囊肿内的恶性疾病报告。
据我们所知，此前尚未有鼻咽部鳃裂囊肿内发生恶性淋巴瘤的报道。然而，在评估鼻咽部囊性病变患者时，应考虑到这一发现存在的可能性。
