Lozano Blanco I, Pérez Climent F, Carbonell Sanchis R, Giménez Vaillo F, Oliver Guasp C
Servicio de Otorrinolaringología Hospital Gran Vía, Castellón.
An Otorrinolaringol Ibero Am. 1995;22(6):601-8.
Report the case of a young feminine patient, 17, presenting since the first year of her life, a swelling of few milimeters diameter, close to the frenulum of the tongue, with progressive enlargement. At examination is verified a swelling about 10 cms. diameter filling the whole ground of the mouth and pulling backwards the tongue and producing a clear protrusion in the suprahyoid region. After lateral X-ray of the neck, echography and cervical TAC, surgery is advised with the suspicion of ranula sublingualis. Removal of the tumor through medial cervictomy, finding, besides the main mass, a second one about 3 cms. diameter. The histopathological diagnosis of a cyst of the thyroglossal duct, its sitting place and the clinical course, compelled the AA. to review the slides and being obvious the presence of sebaceus glands, they change the prior diagnosis for that of dermoid cyst.
报告一例17岁年轻女性患者的病例，自其出生第一年起，在靠近舌系带处出现直径几毫米的肿胀，并逐渐增大。检查时发现一个直径约10厘米的肿胀，占据整个口腔底部，将舌头向后牵拉，导致舌骨上区域明显突出。在进行颈部侧位X线、超声检查和颈部计算机断层扫描后，因怀疑是舌下腺囊肿而建议进行手术。通过颈部内侧切除术切除肿瘤，除了主要肿块外，还发现一个直径约3厘米的肿块。甲状舌管囊肿的组织病理学诊断、其位置及临床过程，促使作者重新查看切片，因明显存在皮脂腺，故将先前的诊断改为皮样囊肿。
