Ingoldby C J
Ann R Coll Surg Engl. 1985 May;67(3):175-6.
Twenty-three cases of branchial cysts seen over 4 years are described. Only 11 patients presented with simple non-tender fluid swellings of the neck. Five patients presented with tender masses during infections and were diagnosed as acute abscesses. Seven patients presented with hard fixed masses mimicking lymphadenopathy. None of these were diagnosed correctly before surgery. Misdiagnosis led to significant morbidity from persistent cervical discharges. One patient had a partial nerve palsy. Infection of branchial cysts was common in this series and caused difficulties in diagnosis due to thickening of cysts walls following chronic inflammation in lymphoid tissue.
本文描述了4年间所见到的23例鳃裂囊肿。只有11例患者表现为颈部单纯的无痛性液性肿胀。5例患者在感染时出现压痛性肿块，被诊断为急性脓肿。7例患者出现质地硬且固定的肿块，类似淋巴结病。这些患者在手术前均未得到正确诊断。误诊导致颈部持续流脓，造成了严重的发病率。1例患者出现部分神经麻痹。在本系列病例中，鳃裂囊肿感染很常见，由于淋巴组织慢性炎症导致囊肿壁增厚，给诊断带来了困难。
