|
颈部异位胸腺囊肿一例及文献复习
|
Abstract:
目的:探讨颈部异位胸腺囊肿的临床表现、诊疗及手术体会。方法:回顾性分析1例就诊于我院的成人颈部异位胸腺囊肿的临床资料。结果:胸腺囊肿发病率较低,仅占胸腺肿瘤的5%,而发生于颈部的异位胸腺囊肿更为罕见,在颈部肿物的诊疗过程中不能单纯依赖影像学检查,可穿刺取活检送病理明确诊断,提高诊断正确率。
Objective: To investigate the clinical manifestations, diagnosis, treatment and surgical experience of ectopic thymic cyst in the neck. Methods: The clinical data of adult cervical ectopic thymic cyst of 1 case of clinic in our hospital was retrospectively analyzed. Results: The incidence of thymic cyst is low, only accounts for 5% of the thymus gland tumor, and ectopic thymus gland cyst occurring in the neck is more rare, in the process of neck neoplasm of diagnosis and treatment, it can not rely solely on imaging examination, puncture biopsy pathology diagnosis can be taken to improve the diagnostic accuracy.
[1] | 蔡朝阳, 陈小友, 林海勇, 等. 颈部异位胸腺囊肿一例[J]. 中华耳鼻咽喉头颈外科杂志, 2008(7): 543-544. |
[2] | 胡伟伟, 赵雪松, 张杰武. 颈部异位胸腺囊肿的诊断及治疗研究进展[J]. 黑龙江医学, 2011, 35(4): 255-258. |
[3] | Claes, L., Dendooven, A. van Heerden, J. (2019) Challenges in Diagnosing Ectopic Thymus Tissue in Children. BMJ Case Reports, 12, e228807. https://doi.org/10.1136/bcr-2018-228807 |
[4] | 解振林, 杨瑾, 文德强, 等. 胸腺囊肿的影像学诊断[J]. 现代医用影像学, 2010, 19(1): 37-39. |
[5] | 吴正参, 王中秋, 彭陵. 异位胸腺囊肿一例[J]. 临床放射学杂志, 2010, 29(8): 1143. |
[6] | 何云霞, 冀瑞烨, 霍现英, 等. 颈部异位胸腺囊肿超声表现1例[J]. 中国超声医学杂志, 2011, 27(10): 937. |
[7] | 王云华. 胸腺囊肿的影像学诊断[J]. 中华放射学杂志, 2002(1): 85-86. |
[8] | 于佳琪, 刘京男, 孙平丽, 等. 异位胸腺或鳃器分化的肿瘤诊断与研究进展[J]. 中华病理学杂志, 2021, 50(12): 1423-1427. |
[9] | 张良泽, 张德超, 张汝刚, 张大为. 胸腺囊肿的外科治疗(附23例报告及文献复习) [J]. 中国医刊, 2002(9): 36-37. |
[10] | 包敏伟, 谢冬, 谢惠康, 等. 116例胸腺囊肿的外科治疗[J]. 中华胸心血管外科杂志, 2016, 32(1): 14-17. |
[11] | Cigliano, B., Baltogiannis, N., De Marco, M., et al. (2007) Cervical Thymic Cysts. Pediatric Surgery International, 23, 1219-1225. https://doi.org/10.1007/s00383-006-1822-5 |
[12] | Suster, S., Bar-buto, D., Carlson, G., et al. (1991) Multilocular Thymic Cysts with Pseudoepitheliomatous Hyperplasia. Human Pathol-ogy, 22, 455-460. https://doi.org/10.1016/0046-8177(91)90131-8 |
[13] | Bothale, K.A., Mahore, S.D., Karmarkar, P., et al. (2015) IMAGES: Ectopic Thymic Cyst: A Rare Case Report. Indian Journal of Pathology and Microbiology, 58, 118-119. https://doi.org/10.4103/0377-4929.151207 |
[14] | 张建国, 唐鹏, 郭根军, 等. 异位胸腺囊肿4例[J]. 中华胸心血管外科杂志, 2009, 25(1): 59-60. |