Wiswell T E, Miller J A
J Pediatr Surg. 1986 Feb;21(2):173-4. doi: 10.1016/s0022-3468(86)80077-x.
Congenital cervical neck masses are usually benign lesions. However, cystic hygromas and cervical teratomas are associated with a high risk for potentially life-threatening complications, primarily that of respiratory distress secondary to tracheal compression. Children with unoperated teratomas are also at high risk for malignant changes. A third potential complication is that of infection of the lesion. We present two newborns with infections of cervical neck masses associated with bacteremia. One lesion was a teratoma, the other a cystic hygroma. In both infants, surgical excision had been delayed. These cases illustrate the need for prompt, accurate diagnosis and treatment of congenital cervical neck masses.
先天性颈部肿块通常为良性病变。然而，囊状水瘤和颈部畸胎瘤与潜在的危及生命的并发症风险较高相关，主要是气管受压继发的呼吸窘迫。未接受手术治疗的畸胎瘤患儿发生恶性变的风险也很高。第三个潜在并发症是病变感染。我们报告了两名患有与菌血症相关的颈部肿块感染的新生儿。一个病变是畸胎瘤，另一个是囊状水瘤。两名婴儿的手术切除均被推迟。这些病例说明了对先天性颈部肿块进行及时、准确诊断和治疗的必要性。
