Branchial Cleft Cyst Carcinoma: A Case Report

鰓裂性囊腫之麟狀細胞癌：病例報告

陳鴻樟(Hwong-Chang Chen) ； 李孟儒(Meng-Ju Li) ； 林智一(Tze-Yi Lin)

《中華放射線醫學雜誌》 30卷4期 (2005/08) Pp. 231-234

摘要

鰓裂性囊腫之麟狀細胞癌的診斷頗具爭議。自從1950年Martin et al首度提出四項診斷準則後，鰓裂性囊腫之麟狀細胞癌存在之爭議才告一段落。自此，正式之病例報告便偶見報導，但其發生率仍屬罕見。主要的鑑別診斷在於囊腫性頸部淋巴腺轉移病灶，這需術前排除且於五年內未檢出上呼吸消化道及甲狀腺之惡性腫瘤。Khafif et al於1989年針對Martin準則作出修訂，認為針對上呼吸消化道及甲狀腺作完整的術前檢查排除惡性腫瘤即可。如此鰓裂性囊腫之麟狀細胞癌的診斷與治療變得更實際可行。

關鍵字

鰓裂性囊腫 ； 麟狀細胞癌

並列摘要

Branchial cleft squamous cell carcinoma is extremely rare, compared to the far more frequent cystic metastastic cervical lymph nodes arising from primary malignancies. This was a 40-year-old man presenting with a well-defined, two-month history of a slowly-growing lateral neck mass. He underwent complete tumor excision. The pathological diagnosis was squamous cell carcinoma originating from a branchial cleft cyst, which was characterized histologically by an epithelial-lined cyst with dysplasia to in situ carcinoma transitional zone.

並列關鍵字

Branchial cleft cyst ； Squamous cell carcinoma