Chen Wei, Xu MengRou, Wang Qingyu, Xu Hongming, Chen Jiarui, Li Xiaoyan
Department of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Department of Pathology, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Front Pediatr. 2022 Nov 3;10:1030692. doi: 10.3389/fped.2022.1030692. eCollection 2022.
To explore the clinical characteristics and surgical treatment of children with bronchogenic cysts (BCs) in the head and neck region.
A retrospective study of 10 pediatric patients with BCs in the head and neck region treated in Shanghai Children's Hospital during 2011 to 2022 was performed.
Based on their pathological diagnosis, 10 patients with BCs in the head and neck were identified. The most common location was the neck (8 patients, 80%; 2 midline neck, 6 lateral neck), followed by the ventral tip of tongue (1 patient), and the posterior pharyngeal wall (1 patient). Misdiagnosed as lymphangioma in 5 cases, cyst in 3 cases, thyroglossal duct cyst (TGDC) in 2 cases and congenital pyriform sinus fistula (CPSF) in 1 case preoperative. The median follow-up period after surgery was 4.68 (range, 0.67-9.25) years. All 10 patients underwent complete resection without recurrence or other complications.
Although extremely rare, BCs should be considered in the differential diagnosis of midline and lateral neck masses or intraoral cysts in children. Surgical excision is recommended in BCs, and the diagnosis is definitively confirmed by histopathology.
探讨头颈部支气管源性囊肿（BCs）患儿的临床特征及手术治疗方法。
对2011年至2022年在上海儿童医学中心接受治疗的10例头颈部BCs患儿进行回顾性研究。
根据病理诊断，确定了10例头颈部BCs患儿。最常见的部位是颈部（8例，80%；2例位于颈部中线，6例位于颈部外侧），其次是舌尖腹侧（1例）和咽后壁（1例）。术前5例误诊为淋巴管瘤，3例误诊为囊肿，2例误诊为甲状舌管囊肿（TGDC），1例误诊为先天性梨状窝瘘（CPSF）。术后中位随访时间为4.68（范围0.67 - 9.25）年。10例患儿均接受了完整切除，无复发或其他并发症。
尽管极为罕见，但在儿童中线和侧颈部肿块或口腔内囊肿的鉴别诊断中应考虑BCs。建议对BCs进行手术切除，组织病理学检查可明确诊断。
