Wolff M, Rankow R M, Fleigel J
J Maxillofac Surg. 1979 Feb;7(1):41-7. doi: 10.1016/s0301-0503(79)80009-0.
The ongoing debate concerning the existence of malignant transformation of branchial cleft cysts has been analyzed, with the aid of previous reports and reviews in the literature. Six new cases are presented and illustrated. These occurred in 4 male and 2 female patients, having an average age of 60 years. Two of the lesions were within the parotid salivary gland. The longest period of survival was 3 1/2 years. New criteria for the acceptability of tumors as primary branchiogenic cancers are proposed. We believe that, using these strict criteria, rare examples of primary branchiogenic carcinomas do exist; their treatment should include whide local excision, followed by ipsilateral radical neck dissection.
借助先前的报告及文献综述，对有关鳃裂囊肿恶变存在与否的持续争论进行了分析。本文展示并阐述了6例新病例。这些病例中，男性4例，女性2例，平均年龄60岁。其中2处病变位于腮腺内。最长生存期为3年半。本文提出了将肿瘤判定为原发性鳃源性癌的可接受新标准。我们认为，依据这些严格标准，原发性鳃源性癌的罕见病例确实存在；其治疗应包括广泛局部切除，随后进行同侧根治性颈清扫术。
