deMello D E, Lima J A, Liapis H
Arch Otolaryngol Head Neck Surg. 1987 Apr;113(4):418-20. doi: 10.1001/archotol.1987.01860040080023.
Deep, midline cervical cysts clinically diagnosed as thyroglossal duct cysts (TDCs), have been pathologically classified as dermoid cysts because of the presence of skin appendages and a squamous epithelial lining. In 75 midline cervical masses preoperatively diagnosed as TDC, we could classify only 54 as TDC, using the preexisting criteria of squamous or ciliated columnar epithelial lining associated with a tract or thyroid follicles. Eleven cysts were reclassified as dermoid, and six were called "mixed" because of features of both dermoid cysts (skin appendages) and TDC (epithelial tract or thyroid follicles). The morphological similarity of all these lesions suggests a common origin, perhaps from totipotential tissue entrapped during the descent of the embryonic thyroglossal duct from the base of the tongue. We conclude that these lesions should be grouped together under the eponym of "thyroglossal anomalies," and that treatment for all should consist of the Sistrunk procedure.
临床上诊断为甲状舌管囊肿（TDC）的深部中线颈部囊肿，由于存在皮肤附属器和鳞状上皮内衬，在病理上被归类为皮样囊肿。在75例术前诊断为TDC的中线颈部肿块中，根据先前存在的鳞状或纤毛柱状上皮内衬伴条索或甲状腺滤泡的标准，我们仅能将54例归类为TDC。11个囊肿被重新归类为皮样囊肿，6个因具有皮样囊肿（皮肤附属器）和TDC（上皮条索或甲状腺滤泡）的特征而被称为“混合性”。所有这些病变的形态学相似性提示它们可能起源相同，或许源于胚胎甲状舌管从舌根下降过程中被困住的全能组织。我们得出结论，这些病变应归为“甲状舌管异常”这一名称之下，并且所有病变的治疗均应采用Sistrunk手术。
