Atram Manisha A, Mangam Shubhangi, Shivkumar V B, Kamekar Pranali
Department of Pathology, Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram, Wardha, Maharashtra 442102 India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3688-3692. doi: 10.1007/s12070-024-04698-5. Epub 2024 Apr 30.
Though aetiology of lateral neck masses is complex, branchial cleft cyst is the second most common congenital lesions of the neck next only to thyroglossal duct cysts. Rarely ectopic thyroid tissue within a branchial cleft cyst may develop into primary papillary carcinoma, and even more rarely it may harbour metastases of primary thyroid papillary carcinoma. We report a rare case of lateral cystic neck mass in a 24-year-old female patient diagnosed as metastatic PTC. The patient was diagnosed after she underwent surgical excision of branchial cleft cyst. Later prospectively the patient underwent total thyroidectomy which revealed papillary thyroid micro invasive carcinoma.
虽然颈部侧方肿块的病因复杂，但鳃裂囊肿是仅次于甲状舌管囊肿的第二常见的颈部先天性病变。鳃裂囊肿内的异位甲状腺组织很少会发展为原发性乳头状癌，更罕见的是它可能含有原发性甲状腺乳头状癌的转移灶。我们报告一例罕见的24岁女性患者，其颈部侧方囊性肿块被诊断为转移性甲状腺乳头状癌（PTC）。该患者在接受鳃裂囊肿手术切除后被确诊。随后，患者前瞻性地接受了甲状腺全切除术，结果显示为甲状腺乳头状微浸润癌。
