Second Branchial Cleft Cyst-A Case Report and Review of Literatures

第二鰓裂囊腫－病例報告與文獻回顧

陳星佑(Sing-You Chen) ； 劉崇基(Chung-Ji Liu) ； 林鈞盛(Jiun-Sheng Lin)

《臺灣口腔顎面外科學會雜誌》 32卷3期 (2021/09) Pp. 227-235

摘要

The branchial cleft cysts, or benign lymphoepithelial cysts, are uncommon anomalies of the embryonic development. These anomalies of brachial arches could be manifested in cysts, sinus tracts, or cartilaginous remnants and surgical excision is the main treatment modality. We reported a 52-year-old male with swelling on the left side of the neck region for 2-3 months. CT scan showed that there is a single well-circumscribed oval hypoattenuating mass located in the left submandibular area and measured approximately 2.5 cm x 2.5 cm in size. Surgical excision with a transverse cervical incision was performed under general anesthesia and sent for histopathology examination. The histopathological report revealed a benign lymphoepithelial cyst of left neck, type I. There was no tumor recurrence until now. Here we had a literature review focus on diagnostic modalities and treatment of branchial cleft cyst.

關鍵字

Branchial cleft cyst ； Lymphoepithelial cyst ； Branchial arch

並列摘要

鰓裂囊腫或稱為良性淋巴上皮囊腫是一種胚胎發育上的罕見變異。在臨床上，這些先天性鰓裂異常可能會以囊腫，竇道或軟骨殘留物的形式出現，而手術切除是其最主要的治療方式。本病例報告中，呈現一名52歲的男性，發現在左側頸部腫脹持續了數個月。電腦斷層掃描顯示，在左側下頜下區域可見單個界限清楚、橢圓形、低密度訊號之腫塊，大小約為2.5厘米x2.5厘米。安排於全身麻醉下進行橫頸切口手術切除，並送病理組織切片化驗，病人於術後定期追蹤並且無復發跡象。組織病理報告顯示為一左頸部第一型良性淋巴上皮囊腫。本病例報告中將回顧有關鰓裂囊腫的診斷方法以及治療方式之文獻。

並列關鍵字

鰓裂囊腫 ； 淋巴上皮囊腫 ； 鰓弓