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摘要


囊性水瘤是一種發生於兩歲前孩童的淋巴管異常,主要侵犯頭頸部,成人甚為罕見。本篇報告一例53歲女性因頸部腫塊,由開業醫以囊性甲狀腺腫轉介來。超音波檢查發現位於甲狀腺及頸動脈外側之囊性腫瘤,電腦斷層攝影此囊腫位於胸鎖乳突肌後側方並壓迫到內頸靜脈。手術時發現在胸鎖乳突肌下面有一含黃色液體之囊腫,壓迫並粘連到內頸靜脈,經小心剝離,將腫瘤完全切除。病理報告證實為囊性水瘤。經追蹤二年沒有復發。囊性水瘤在成人頸部囊腫,需要列入鑑別診斷。完全切除而不犧性重要構造。為治療之選擇。

關鍵字

囊性水瘤 成人 淋巴管瘤

並列摘要


Cystic hygroma is a congenital lymphatic malformation involving mainly the head and neck region in children before age 2 years old. It is seen rarely in adults. We report a 53 year-old female referred by a local physician as cystic goiter. Sonography showed a cystic mass lateral to thyroid and carotid artery. Computed tomography depicted a low density lesion posterior lateral to sternocleidomastoid muscle with compression of internal jugular vein. Complete excision was performed without recurrence. Cystic hygroma must be considered in the differential diagnosis of a cystic mass of the neck in adults. Complete excision without sacrifice of vital structure is the treatment of choice.

並列關鍵字

cystic hygroma adult lymphangioma

延伸閱讀


  • Chan, K. C., Shih, L. N., Chuang, S. M., Chan, S. L., & Ma, W. K. (1997). 後腹膜腔囊性淋巴管瘤:病例報告. 中華放射線醫學雜誌, 22(3), 141-144. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199706-22-3-141-144-a
  • Tzeng, W. S., Lin, M. P., Mak, C. W., Chang, J. M., Chiu, A. W. H., Huang, S. K. H., & Lu, D. (2000). 以多囊性形態表現之成人型Wilms氏腫瘤:一病例報告. 中華放射線醫學雜誌, 25(1), 27-30. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200002-25-1-27-30-a
  • 李耀泰、陳福民、郭宗正(2013)。子宮內的囊性病灶當代醫學(482),952-954。https://doi.org/10.29941/MT.201312_(482).0014
  • Yeh, H. C., Wang, C. J., Liu, C. C., Wu, W. J., Chou, Y. H., & Huang, C. H. (2007). 巨大精液囊腫相似陰囊積水-病例報告. The Kaohsiung Journal of Medical Sciences, 23(7), 366-369. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200707-23-7-366-369-a
  • 吳重慶、蘇聖村(2000)。成人的輸尿管囊腫:病例報告秀傳醫學雜誌2(1),31-35。https://www.airitilibrary.com/Article/Detail?DocID=15610497-200001-2-1-31-35-a

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