Bellakhdhar Mouna, Haouas Jihéne, El Abed Wed, Ghammem Monia, Kermani Wassim, Abdelkefi Mohamed
Tunis Med. 2018 Dec;96(12):888-892.
the amygdaloid cyst is a rare laterocervical cystic tumor arising from the second branchial cleft. It accounts for 2% of laterocervical tumors.
analyze the anatomo-clinical characteristics and discuss the management and therapeutic indications of second branchial cleft cysts.
we report a 14-year retrospective study (2000-2013) concerning 34 cases of amygdaloid cysts diagnosted and treated at ENT department of Farhat Hached hospital of Sousse.
The average age of our patients was 27 years with a sex ratio 0.8. Physical examination found a cervical mass in all the cases: jugulo-carotid in 26 cases (77%), supraclavicular in two cases (6%). The location was not specified in 6 cases (17%). Cervical ultrasound was performed in 30 patients, and showed a cystic mass in 17 cases. Complement by CT was performed in 5 patients suggesting the diagnosis of second branchial cleft cysts in two cases. One patient had an MRI for a large supraclavicular mass. A fine needle aspiration biopsy was performed in 13 patients. All patients underwent surgery with complete excision of the cyst. Histopathological examination confirmed the diagnosis of second branchial cleft cysts, with 2 cases of malignant degeneration. One case of recurrence was noted.
Second branchial cleft cysts are relatively rare malformations. Their diagnosis is confirmed by pathological examination. The treatment is surgical.
扁桃体囊肿是一种罕见的起源于第二鳃裂的颈侧囊性肿瘤。它占颈侧肿瘤的2%。
分析解剖学临床特征，探讨第二鳃裂囊肿的处理及治疗指征。
我们报告了一项在苏塞法哈特·哈谢德医院耳鼻喉科进行的为期14年（2000 - 2013年）的回顾性研究，涉及34例经诊断和治疗的扁桃体囊肿病例。
我们患者的平均年龄为27岁，性别比为0.8。体格检查在所有病例中均发现颈部肿块：26例（77%）位于颈静脉 - 颈动脉区，2例（6%）位于锁骨上区。6例（17%）未明确位置。30例患者进行了颈部超声检查，其中17例显示为囊性肿块。5例患者进行了CT补充检查，2例提示为第二鳃裂囊肿。1例因锁骨上区巨大肿块进行了MRI检查。13例患者进行了细针穿刺活检。所有患者均接受了囊肿完整切除手术。组织病理学检查确诊为第二鳃裂囊肿，2例发生恶性变。记录到1例复发。
第二鳃裂囊肿是相对罕见的畸形。其诊断通过病理检查得以证实。治疗方式为手术治疗。
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