Soh K B, Bhangoo R, Colloby P S, Narula A A
Department of Otorhinolaryngology, National University Hospital, Singapore.
Ann Acad Med Singap. 1996 Sep;25(5):752-4.
A "branchial cyst" in a patient above 40 years old may turn out to be a malignant cystic nodal metastasis from a primary tumour in the tonsil. We present a case of a 45-year-old woman in whom an initial mistaken diagnosis of branchial cyst was made. The neck mass was discovered to be malignant and the left tonsil was subsequently implicated as the primary source. Older patients with cystic neck masses should be managed on the presumption that these may possibly be metastatic lesions from a primary oropharyngeal tumour.
40岁以上患者的“鳃裂囊肿”可能是扁桃体原发性肿瘤的恶性囊性淋巴结转移。我们报告一例45岁女性，最初误诊为鳃裂囊肿。颈部肿块被发现是恶性的，随后发现左侧扁桃体是原发灶。对于有颈部囊性肿块的老年患者，应假定这些肿块可能是口咽原发性肿瘤的转移灶，并进行相应处理。
