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[颈部中央区域(Ⅵ区)偶然发现的异位组织——病例系列、回顾性分析及文献综述]

[Incidentally discovered ectopic tissue in the central neck region (level VI) of the neck - A case series, retrospective analysis and literature review].

作者信息

Lévay Bernadett, Péter Ilona, Fröhlich Georgina, Koltai Pál, Ivády Gabriella, Járay Balázs, Pogány Péter, Szőke János, Tóth Erika, Udvarhelyi Nóra, Oberna Ferenc

机构信息

Fej-nyaki Daganatok Multidiszciplináris Központ, Országos Onkológiai Intézet, Budapest, Hungary.

Daganatpatológiai Központ, Országos Onkológiai Intézet, Budapest, Hungary.

出版信息

Magy Onkol. 2024 Jul 16;68(2):177-190. Epub 2024 Apr 22.

Abstract

The thymus derives from the third branchial pouch, which migrates to the mediastinum through the central region of the neck. During the migration, particles split off and develop separately. The prevalence of ectopic thymus is 20-40%. The purpose of this retrospective case series study was to investigate the prevalence of embryological tissue remnants in the central region, in patients treated for thyroid lesions. Between January 1 2018 and September 1 2020, 84 patients who underwent central neck dissection were selected. Clinicopathological data as age, gender, histopathological result and TNM stage were analyzed. Ectopic tissue in the central neck region was discovered in 28 cases. The prevalence of ectopic lesions showed increase in Stage I thyroid carcinomas. There was no significant correlation with patients' age, gender, or with the stage. We emphasize the clinicopathological role of ectopic tissues, which can occur in the central region of the neck.

摘要

胸腺起源于第三鳃囊,通过颈部中央区域迁移至纵隔。在迁移过程中,组织块分离并独立发育。异位胸腺的发生率为20%-40%。本回顾性病例系列研究的目的是调查接受甲状腺病变治疗的患者颈部中央区域胚胎组织残留的发生率。在2018年1月1日至2020年9月1日期间,选取了84例行颈部中央区清扫术的患者。分析了年龄、性别、组织病理学结果和TNM分期等临床病理数据。28例患者发现颈部中央区存在异位组织。I期甲状腺癌中异位病变的发生率有所增加。与患者的年龄、性别或分期均无显著相关性。我们强调异位组织的临床病理作用,其可发生于颈部中央区域。

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