Chen Wei, Xu Mengrou, Wang Qingyu, Chen Jiarui, Sun Guangbin, Li Xiaoyan
Department of Otolaryngology-Head and Neck Surgery，Shanghai Children's Hospital，School of Medicine，Shanghai Jiao Tong University，Shanghai，200062，China.
Department of Otolaryngology Head and Neck Surgery，Huashan Hospital Affiliated to Fudan University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Nov;37(11):916-919. doi: 10.13201/j.issn.2096-7993.2023.11.011.
To investigate the clinical characteristics and surgical treatment outcomes of children with cervical bronchogenic cysts. A retrospective study of 6 pediatric patients with bronchogenic cysts in the neck region treated in our hospital during 2014 to 2020 was performed. All children underwent complete resection of cervical mass under general anesthesia. There were 6 children, aged from 1 to 5 years, with a median of 2.25 years. There were 3 males and 3 females. The lesions were located on the left neck in 3 cases, the midline neck in 2 cases and the right neck in 1 case. The clinical manifestations were painless mass in 5 cases and recurrent neck infection in 1 case. The size of the mass ranged from 2.1 to 7.5 cm. There was no characteristic clinical or imaging features of bronchogenic cysts. Misdiagnosed as lymphangioma in 3 cases, thyroglossal cyst in 2 cases and piriform fistula in 1 case. The follow-up ranged from 1.50 to 7.75 years, with a median of 4.13 years. All 6 children had no recurrence or complications. Although rare, bronchogenic cysts should be considered in the differential diagnosis of cervical cystic masses in children. Surgery is the most effective way to treat cervical bronchogenic cyst, and histopathological examination is the gold standard for diagnosis.
探讨儿童颈段支气管源性囊肿的临床特征及手术治疗效果。对2014年至2020年期间在我院接受治疗的6例颈部支气管源性囊肿患儿进行回顾性研究。所有患儿均在全身麻醉下行颈部肿物完整切除术。6例患儿年龄1至5岁，中位年龄2.25岁。男3例，女3例。病变位于左侧颈部3例，颈部中线2例，右侧颈部1例。临床表现为5例无痛性肿物，1例反复颈部感染。肿物大小2.1至7.5 cm。支气管源性囊肿无特征性临床或影像学表现。3例误诊为淋巴管瘤，2例误诊为甲状舌管囊肿，1例误诊为梨状窝瘘。随访时间1.50至7.75年，中位随访时间4.13年。6例患儿均无复发及并发症。尽管罕见，但儿童颈部囊性肿物的鉴别诊断中应考虑支气管源性囊肿。手术是治疗颈段支气管源性囊肿最有效的方法，组织病理学检查是诊断的金标准。
