Leach Laura, Jonas Nico
Department of ENT, Addenbrooke's Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK.
J Surg Case Rep. 2018 Apr 6;2018(4):rjy059. doi: 10.1093/jscr/rjy059. eCollection 2018 Apr.
A large lingual cyst was noted on the 22-week antenatal ultrasound, which grew in proportion to the foetus on serial imaging. An elective c-section was performed in view of possible airway obstruction, and the neonate initially required oxygen to maintain saturations. Aged 1 month, the baby developed significant breastfeeding difficulties secondary to rapid cyst and secondary tongue enlargement, completely filling the oral cavity. Fifteen millilitres of fluid were aspirated in clinic, resulting in reduction of tongue size and immediate improvement in feeding. The patient subsequently underwent surgical excision of the cyst, which filled most of the anterior two-thirds of the tongue up to the foramen caecum. Histology supported the diagnosis of lingual thyroglossal duct cyst. A rare variant of thyroglossal duct cysts, these cysts can be potentially difficult to manage. More commonly located in the tongue base, we present an even rarer variant, that of an anterior tongue cyst.
在孕22周的产前超声检查中发现一个巨大的舌囊肿，在系列成像中其大小与胎儿成比例生长。鉴于可能存在气道阻塞，进行了择期剖宫产，新生儿最初需要吸氧以维持血氧饱和度。婴儿1个月大时，由于囊肿迅速增大和继发性舌体增大，导致严重的母乳喂养困难，口腔被完全填满。在诊所抽出了15毫升液体，舌体大小减小，喂养情况立即改善。患者随后接受了囊肿手术切除，囊肿占据了舌前三分之二的大部分，直至盲孔。组织学检查支持舌甲状腺舌管囊肿的诊断。作为甲状腺舌管囊肿的一种罕见变体，这些囊肿可能难以处理。甲状腺舌管囊肿更常见于舌根，我们在此呈现一种更为罕见的变体，即舌前部囊肿。
