Department of Otorhinolaryngology, (Head of Department: Prof. Dr. Petra Ambrosch), Head and Neck Surgery, Christian-Albrechts-University Kiel, Arnold-Heller-Str. 3, Building 27, D-24105, Kiel, Germany.
Department of Otorhinolaryngology, (Head of Department: Prof. Dr. Petra Ambrosch), Head and Neck Surgery, Christian-Albrechts-University Kiel, Arnold-Heller-Str. 3, Building 27, D-24105, Kiel, Germany.
J Craniomaxillofac Surg. 2018 Sep;46(9):1664-1668. doi: 10.1016/j.jcms.2018.06.004. Epub 2018 Jun 12.
Preoperative discrimination of solitary cervical branchial cleft cysts from cystic lymph node metastasis often is challenging. Surgical excision of the cystic formation and consecutive histopathological examination of tissue specimens are the only means resulting in the correct diagnosis. However, in case of malignancies surgery on the lateral neck prior to the definitive treatment is considered to negatively influence the patients' outcome. The rate of cystic lymph node metastasis in patients presenting with a lateral branchial cleft cyst, localization of the primary tumour and oncological outcome were investigated. Retrospective chart review of 131 patients presenting clinically with solitary lateral cervical cysts between. A malignant tumour was detected in 12 patients (9.2%). Malignant tumours were significantly more frequent in patients older than 40 years of age (22.0%; p = 0.0001). In patients older than 40 years of age with solitary lateral cervical cysts a malignancy should be presumed.
术前鉴别孤立性颈部分叉窝囊肿与囊性淋巴结转移常常具有挑战性。切除囊性病变并连续进行组织标本的组织病理学检查是唯一能得出正确诊断的方法。然而，在存在恶性肿瘤的情况下，在进行确定性治疗之前对侧颈部进行手术被认为会对患者的预后产生负面影响。本研究旨在调查颈侧分支窝囊肿患者的囊性淋巴结转移率、原发肿瘤定位和肿瘤学结局。对 131 例临床诊断为孤立性颈侧囊肿的患者进行回顾性图表审查。12 例（9.2%）患者发现恶性肿瘤。年龄大于 40 岁的患者中恶性肿瘤明显更为常见（22.0%；p=0.0001）。对于年龄大于 40 岁、患有孤立性颈侧囊肿的患者，应推测存在恶性肿瘤。
