Paediatrics, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK
Ear, Nose and Throat Surgery Department, Great Ormond Street Hospital For Children NHS Trust, London, UK.
BMJ Case Rep. 2020 Sep 6;13(9):e237551. doi: 10.1136/bcr-2020-237551.
A 1-week-old female infant presented with a transilluminating neck lump that increased in size with crying. The presumptive diagnosis was lymphatic malformation, but imaging raised the possibility of an abscess or necrotic tumour. A biopsy revealed a likely developmental cyst with local inflammatory change. Microlaryngoscopy revealed a fourth branchial pouch sinus, which was cauterised. The sinus and neck lump resolved without need for further treatment.
一名出生仅一周的女婴因透光性颈部肿块就诊，该肿块在哭泣时增大。初步诊断为淋巴管畸形，但影像学检查提示脓肿或坏死性肿瘤的可能性。活检显示为可能的发育性囊肿伴局部炎症改变。显微喉镜检查发现第四鳃裂窦，予以烧灼。窦道和颈部肿块自行消退，无需进一步治疗。
