McPhail N, Mustard R A
Can Med Assoc J. 1966 Jan 22;94(4):174-9.
The embryology, anatomy and pathology of branchial cleft anomalies are discussed and 87 cases reviewed.The most frequent anomaly was branchial cleft cyst, of which there were 77 cases. Treatment in all cases consisted of complete excision.There were five cases of external branchial sinus and five cases of complete branchial fistula. Sinograms were helpful in demonstrating these lesions. Excision presented little difficulty.No proved case of branchiogenic carcinoma has been found in the Toronto General Hospital. Five cases are described in which the original diagnosis was branchiogenic carcinoma-in four of these a primary tumour has already been found. The authors believe that the diagnosis of branchiogenic carcinoma should never be accepted until repeated examinations over a period of at least five years have failed to reveal a primary tumour.
本文讨论了鳃裂畸形的胚胎学、解剖学和病理学，并回顾了87例病例。最常见的畸形是鳃裂囊肿，共77例。所有病例均采用完整切除治疗。有5例为外鳃窦，5例为完全性鳃瘘。造影有助于显示这些病变。切除手术难度不大。多伦多总医院未发现确诊的鳃源性癌病例。本文描述了5例最初诊断为鳃源性癌的病例，其中4例已发现原发性肿瘤。作者认为，在至少五年的反复检查未能发现原发性肿瘤之前，绝不应该接受鳃源性癌的诊断。
