Mahnke C G, Jänig U, Werner J A, Rudert H
Department of Otorhinolaryngology, Head and Neck Surgery, Christian-Albrechts-University of Kiel, F.R.G.
Auris Nasus Larynx. 1994;21(4):258-63. doi: 10.1016/s0385-8146(12)80091-5.
Primary malignancies of the thyroglossal duct are rare. Around 150 cases are described in the world literature, most of them being papillary thyroid carcinomas. Other types of tumors are squamous cell carcinomas, mixed follicular-papillary carcinomas, or adenocarcinomas. Women are affected more often than men, the ratio being 2:1. Preoperative diagnosis of primary malignancies of the thyroglossal duct is uncommon. Initial treatment of primary malignancies of the thyroglossal duct is usually sufficiently done operatively by the so-called Sistrunk's procedure which, however, was first described in 1893 by Schlange. Some patients may need further treatment such as wider excision, thyroidectomy, radioiodine therapy, or neck dissection. In this report the case of a papillary carcinoma of the thyroglossal duct in a 63-year-old man is presented. It is intended to remind the reader of this pathology which is often forgotten because of its rarity. The problems that occur during the process of evaluation regarding ideal treatment of the individual case are discussed. The literature is reviewed.
甲状舌管原发性恶性肿瘤较为罕见。世界文献中报道了约150例病例，其中大多数为甲状腺乳头状癌。其他类型的肿瘤包括鳞状细胞癌、滤泡 - 乳头状混合癌或腺癌。女性比男性更易患病，比例为2:1。甲状舌管原发性恶性肿瘤的术前诊断并不常见。甲状舌管原发性恶性肿瘤的初始治疗通常通过所谓的西斯特伦克手术（Sistrunk's procedure）进行手术，该手术最初由施兰格（Schlange）于1893年描述。一些患者可能需要进一步治疗，如更广泛的切除、甲状腺切除术、放射性碘治疗或颈部清扫术。本报告介绍了一名63岁男性甲状舌管乳头状癌的病例。旨在提醒读者注意这种因罕见而常被遗忘的病理学情况。讨论了在评估个体病例理想治疗过程中出现的问题。并对相关文献进行了综述。
