Pannell B W, Hendrick E B, Hoffman H J, Humphreys R P
Neurosurgery. 1982 Mar;10(3):317-23. doi: 10.1227/00006123-198203000-00004.
A review of the medical records at The Hospital for Sick Children in Toronto, Ontario, from 1967 through 1980 showed that, of the 94 cases of dermoid cyst of the skull treated at this institution by the neurosurgical staff, 25 were located over the anterior fontanelle. This is the largest single group of cases reported to date. The children were 2 months to 13 years of age, but two-thirds were treated before their 1st birthday. Females outnumbered males 2:1, and all of the patients presented with a nontender swelling over the anterior fontanelle, which had been present from birth. The lesions were treated by a variety of surgical approaches, all of which were curative. None of the lesions has recurred. The most interesting finding was that all but 2 of the children were white, in contrast to all previously published series. This confirms our belief that the racial incidence of dermoid cysts of the anterior fontanelle is a reflection of the general population. A review of previously published cases and the pathology and embryology of the lesion is included.
对安大略省多伦多市病童医院1967年至1980年的病历进行回顾发现，在该机构神经外科工作人员治疗的94例颅骨皮样囊肿病例中，有25例位于前囟上方。这是迄今为止报告的最大单组病例。这些儿童年龄在2个月至13岁之间，但三分之二是在1岁生日前接受治疗的。女性与男性的比例为2:1，所有患者前囟均有一非压痛性肿块，自出生即存在。这些病变采用了多种手术方法治疗，所有方法均治愈。无一例病变复发。最有趣的发现是，除2名儿童外，其余均为白人，这与之前所有已发表的系列病例形成对比。这证实了我们的观点，即前囟皮样囊肿的种族发病率反映了总体人群情况。本文还包括对既往发表病例以及该病变的病理学和胚胎学的回顾。
