Laing M R, Mclay K A
Department of Otolaryngology, Aberdeen Royal Infirmary, Foresterhill.
J Laryngol Otol. 1988 Jan;102(1):93-4. doi: 10.1017/s0022215100104098.
A 71-year-old female presented with a midline neck mass. The clinical impression was that of a thyroglossal cyst but preoperative assessment suggested a solid lesion, possibly malignant. The mass was removed surgically using the Sistrunk technique and shown pathologically to be a mixed papillary-follicular carcinoma of the thyroid with no cystic elements. Clinically and radiologically the thyroid was normal and thyroidectomy was not performed. This management is discussed along with a brief review of the relevant literature on the pathology and treatment of similar lesions.
一名71岁女性因颈部中线肿物就诊。临床初步诊断为甲状舌管囊肿,但术前评估提示为实性病变,可能为恶性。采用Sistrunk技术手术切除肿物,病理显示为甲状腺乳头状-滤泡状混合癌,无囊性成分。临床及影像学检查甲状腺正常,未行甲状腺切除术。本文讨论了该病例的处理方法,并简要回顾了关于类似病变的病理学及治疗的相关文献。