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会厌部多发皮样囊肿伴声音嘶哑和吞咽困难:1例罕见病例

Multiple Dermoid Cysts in the Epiglottis Presenting with Dysphonia and Dysphagia: A Rare Case.

作者信息

Akı Ecem Sevim, Çorakçı Onur, Canpolat Selin

机构信息

Department of Otorhinolaryngology/Head and Neck Surgery, İzmir Bozyaka Education and Research Hospital, University of Health Sciences Turkey, İzmir, Turkey.

Department of Pathology, İzmir Bozyaka Education and Research Hospital, University of Health Sciences Turkey, İzmir, Turkey.

出版信息

Turk Arch Otorhinolaryngol. 2022 Sep;60(3):173-176. doi: 10.4274/tao.2022.2022-7-1. Epub 2022 Nov 15.

DOI:10.4274/tao.2022.2022-7-1
PMID:36452237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9667698/
Abstract

Dermoid cysts are developmental anomalies that occur during midline fusion in embryological life. It is known that they can also be acquired as a result of traumatic and iatrogenic implantation. Laryngeal involvement of dermoid cysts has been reported very rarely in the literature. This report presents a case with multiple dermoid cysts originating from the epiglottis. A 59-year-old male patient was admitted to our clinic with complaints of foreign body sensation in the throat and dysphagia. Multiple cystic lesions originating from the epiglottis were observed in the laryngeal examination of the patient. After radiological examinations, the cysts were completely excised by endolaryngeal surgery. After excision of the lesions, which were reported as dermoid cysts, all complaints of the patient regressed, and no recurrence was observed in the 6th month after the operation and his follow-up continued. Dermoid cysts originating from the epiglottis are very rare, but they should be kept in mind in the differential diagnosis of epiglottis lesions.

摘要

皮样囊肿是胚胎发育过程中中线融合时出现的发育异常。已知它们也可因创伤性和医源性植入而获得。皮样囊肿累及喉部在文献中报道极少。本报告介绍了一例起源于会厌的多发性皮样囊肿病例。一名59岁男性患者因咽喉部异物感和吞咽困难主诉入院。在对该患者的喉镜检查中发现了起源于会厌的多个囊性病变。经过放射学检查后,通过喉镜手术将囊肿完全切除。在切除报告为皮样囊肿的病变后,患者所有症状均消退,术后6个月未观察到复发,对其随访仍在继续。起源于会厌的皮样囊肿非常罕见,但在会厌病变的鉴别诊断中应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/62cf7c9dbb45/tao-60-173-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/a4e1e496990f/tao-60-173-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/02716657e3e6/tao-60-173-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/2f3136a821c0/tao-60-173-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/62cf7c9dbb45/tao-60-173-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/a4e1e496990f/tao-60-173-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/02716657e3e6/tao-60-173-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/2f3136a821c0/tao-60-173-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d890/9667698/62cf7c9dbb45/tao-60-173-g4.jpg

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本文引用的文献

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Dermoid Cyst Arising from the Epiglottis.起源于会厌的皮样囊肿。
Turk Arch Otorhinolaryngol. 2015 Mar;53(1):42-44. doi: 10.5152/tao.2014.664. Epub 2014 Nov 14.
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Epiglottic cyst causing dysphagia and impending airway obstruction.会厌囊肿导致吞咽困难及即将出现的气道梗阻。
Am J Otolaryngol. 2015 May-Jun;36(3):492-3. doi: 10.1016/j.amjoto.2015.02.002. Epub 2015 Feb 3.
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