Mulhall K J, O'Hanlon D M, Mortimer G, Quill D S
Department of Surgery, University College Hospital, Galway, Ireland.
Ir J Med Sci. 1998 Oct-Dec;167(4):212-5. doi: 10.1007/BF02937414.
A review of thyroglossal duct remnants presenting to a regional centre in the West of Ireland was undertaken. Over a 15 yr period, 25 patients were operated on for duct remnants. The mean age was 19.6 yr and ranged from 3 to 68 yr. There were 16 (64 per cent) males and 9 (36 per cent) females. Seventeen (68 per cent) patients were less than 20 years at the time of surgery. Four patients presented with a sinus and the remainder with a cystic lesion. Two patients experienced recurrent disease. One patient, a 41 yr old female, had a papillary carcinoma of a thyroglossal cyst. There were no clinical features distinguishing this patient from those with benign cystic remnants of the thyroglossal duct. The possibility of carcinoma in older patients, in particular females, presenting with thyroglossal cysts emphasises the importance of performing a formal Sistrunk's operation. It reduces the risk of recurrence of the cyst and may reduce the risk of recurrence of the tumour as the duct may provide a route for the spread of tumour.
对西爱尔兰某地区中心收治的甲状舌管残余病例进行了回顾性研究。在15年期间，有25例患者因甲状舌管残余而接受手术。平均年龄为19.6岁，范围从3岁至68岁。男性16例（64%），女性9例（36%）。17例（68%）患者手术时年龄小于20岁。4例患者表现为窦道，其余患者表现为囊性病变。2例患者出现疾病复发。1例41岁女性患者，甲状舌管囊肿发生乳头状癌。该患者与甲状舌管良性囊性残余患者相比，无临床特征差异。老年患者尤其是女性患者甲状舌管囊肿出现癌变的可能性强调了进行正规Sistrunk手术的重要性。这降低了囊肿复发的风险，并且由于甲状舌管可能为肿瘤扩散提供途径，因此可能降低肿瘤复发的风险。
