Black B, Maran A G
Clin Otolaryngol Allied Sci. 1978 Feb;3(1):27-36. doi: 10.1111/j.1365-2273.1978.tb00662.x.
An unusual case of upper cervical carcinoma probably of true branchial origin is presented and the literature relevant to this condition reviewed. Branchiogenic carcinoma is a rare condition and should not be diagnosed in the absence of the 4 criteria laid down by Dr Hayes Martin, viz. that the carcinoma should arise in the wall of a branchial cyst, that it should occur along a line from the tragus to the clavicle along the anterior border of sternomastoid, that the histology should be compatible with the branchial apparatus and that no other primary tumour should come to light in a 5-year follow-up. A fifth criterion, ie. the demonstration of premalignant changes in the epithelium of the cyst, is suggested to aid a conclusive diagnosis.
本文报告了一例可能起源于真正鳃裂的上颈部癌罕见病例，并对与此病症相关的文献进行了综述。鳃裂癌是一种罕见病症，在未满足海斯·马丁医生提出的4条标准时不应做出诊断，即癌应起源于鳃裂囊肿壁，应沿胸锁乳突肌前缘从耳屏至锁骨的连线出现，组织学应与鳃器相符，且在5年随访中不应发现其他原发肿瘤。建议增加第五条标准，即证明囊肿上皮存在癌前病变，以辅助做出确定性诊断。
