Hans S S, Lee P T, Proctor B
Am Surg. 1976 Oct;42(10):773-7.
Papillary adenocarcinoma arising in a thyroglossal cyst is described in a 38-year-old man to make a total of 83 cases in the literature. Most cases appear to be benign thyroglossal duct cysts. The malignant nature of the lesion was recognized only after the permanent pathology sections were reviewed. Paillary carcinoma was the most common type of carcinoma arising in thyroglossal duct remnants. Local resection by the Sistrunk method is the standard treatment when the malignancy has not extended beyond the confines of the cyst. The differentiation between a carcinoma arising in a thyroglossal duct remnant and a metastatic papillary carcinoma from an occult primary in the main thyroid gland is discussed.
一名38岁男性被诊断为起源于甲状舌管囊肿的乳头状腺癌，这使该病例成为文献报道中的第83例。大多数病例表现为良性甲状舌管囊肿。只有在对永久病理切片进行复查后，才认识到该病变的恶性性质。乳头状癌是甲状舌管残余组织中最常见的癌类型。当恶性肿瘤未超出囊肿范围时，采用Sistrunk法进行局部切除是标准治疗方法。本文还讨论了起源于甲状舌管残余组织的癌与来自甲状腺隐匿性原发灶的转移性乳头状癌之间如何进行鉴别。
