Narcy P, Aumont-Grosskopf C, Bobin S, Manac'h Y
Department of Pediatric Oto-Rhino-Laryngology, Hôpital Robert Debré, University of Paris VII, France.
Int J Pediatr Otorhinolaryngol. 1988 Nov;16(2):157-65. doi: 10.1016/s0165-5876(98)90040-4.
Eight cases of laterocervical cystic tumor occurring during childhood are described. Three cases presented in the neonatal period as an obstructive tumor. Five cases presented in bigger children as recurrent abcess of the neck. Two of those were initially considered as acute suppurative thyroiditis. Laryngoscopy revealed, in all cases, a fistula originating from the apex of the pyriform sinus. Considering the pharyngeal connections, the anatomical route and the pathological reports, we believe that these cysts are derived from the 4th endobranchial pouch. A review of the literature of the past 10 years reveals only 14 reported cases of laterocervical tumors of similar origin.
本文描述了8例儿童期发生的颈侧囊性肿瘤。3例在新生儿期表现为阻塞性肿瘤。5例在较大儿童中表现为颈部反复脓肿。其中2例最初被认为是急性化脓性甲状腺炎。所有病例的喉镜检查均显示有一个起源于梨状窦尖部的瘘管。考虑到咽部连接、解剖路径和病理报告，我们认为这些囊肿起源于第四鳃内胚层囊。回顾过去10年的文献，仅发现14例类似起源的颈侧肿瘤报告病例。
