Jakab-Péter Kinga, Háromi István, Kaszás Bálint, Oláh Zsanett, Szanyi István, Somogyvári Krisztina
1 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Klinikai Központ, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika Pécs, Munkácsy M. u. 2., 7621 Magyarország.
2 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Pathologiai Intézet Pécs Magyarország.
Orv Hetil. 2023 Mar 12;164(10):388-392. doi: 10.1556/650.2023.32741.
Branchial cleft cyst is the most common birth defect involving the neck. Malignant transformation is known, however, differentiating from a neck metastasis of a squamous cell carcinoma of unknown primary is challenging. Even though there are strict criterias, the diagnosis of this entity remains controversial. We present the case of a 69-year-old woman, who presented with a swelling under the left side of the mandible. After diagnostic workup, fine-needle aspiration biopsy raised the suspicion of a cystic squamous cell carcinoma metastasis, therefore we performed panendoscopy and modified radical neck dissection. The pathological examination confirmed branchial cleft cyst carcinoma. After surgery, the patient received adjuvant radiation and chemotherapy. During the case workup, we present the difficulties of the diagnostic process, differential diagnostic problems, and the review of the international literature. In the case of a solitary, cystic mass on the neck without a primary tumor, we should consider the possibility of a branchiogenic carcinoma. Orv Hetil. 2023; 164(10): 388-392.
鳃裂囊肿是最常见的涉及颈部的先天性缺陷。虽然已知存在恶性转化，但将其与原发灶不明的鳞状细胞癌颈部转移瘤区分开来具有挑战性。尽管有严格的标准，但该实体的诊断仍存在争议。我们报告了一例69岁女性病例，她表现为下颌骨左侧下方肿胀。经过诊断性检查，细针穿刺活检引发了囊性鳞状细胞癌转移的怀疑，因此我们进行了全腔镜检查和改良根治性颈清扫术。病理检查证实为鳃裂囊肿癌。手术后，患者接受了辅助放疗和化疗。在病例检查过程中，我们阐述了诊断过程中的困难、鉴别诊断问题以及对国际文献的回顾。对于颈部出现孤立性囊性肿块且无原发肿瘤的情况，我们应考虑鳃源性癌的可能性。《匈牙利医学周报》。2023年；164(10):388 - 392。
