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題名 | 腮腺內之第一鰓裂囊腫:病例報告=First Branchial Cleft Cyst Within the Parotid Gland:Report of a Case |
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作者 | 童維康; 林坤霖; 葉啟偉; 王宗熙; Tung, Wei-kang; Lin, Kun-lin; Yeh, Chi-wei; Wang, Tsung-hsi; |
期刊 | 北醫學報 |
出版日期 | 19970600 |
卷期 | 26:1 1997.06[民86.06] |
頁次 | 頁31-35 |
分類號 | 416.8 |
語文 | chi |
關鍵詞 | 第一鰓裂囊腫; 腮腺; First branchial cleft cyst; Parotid gland; |
中文摘要 | 第一鰓裂異常是相當罕見的疾病,約佔所有先天性鰓裂異常的1-8%。Olsen 將第一鰓裂異常分為囊腫、竇、及瘺管,第一鰓裂囊腫可位於腮腺內、腮腺旁或腮腺下,半數以上的第一鰓裂囊腫位於腮腺以外,而位於腮腺內之第一對鰓裂囊腫則頗為罕見。本科於民國84年10月間經歷一53歲女性病例,主訴右耳前下方無痛腫塊約一年,理學檢查發現右耳前下方有一5 × 5 ㎝之囊腫,但右側外耳道及外耳殼附近並無任何竇的開口,患者住院接受腮腺表淺葉切除術合併囊腫摘除,依術中所見及病理組織圖像,並引證自文獻記載,屬於腮腺內的第一鰓裂囊腫;術後情況良好,追蹤至今無復發現象。 |
英文摘要 | First branchial cleft anomalies constitute one to eight percent of all branchial arch anomalies. Olsen et al classified the first branchial cleft anomalies as cysts, sinuses, or fistulae. First branchial cysts can be further divided into three distinct anatomical groups: intraparotid, paraparotid, and infraparotid. More than fifty percent of these cystic anomalies are not in the parotid parenchyma. First branchial cleft cysts within the parotid gland are rare. A 53-year-old female patient presented in Oct. 1995 with a painless, progressively enlarged mass around the right mandibular angle. On physical examination, a nontender rubbery mobile mass of 5 × 5cm in dimension was found in the lower cheek, anterior and inferior to the right tragus. There was neither facial nerve weakness nor sinus opening over the region. Treatment included extirpation of the cyst and superficial parotidectomy. Histologically, the cyst was lined by stratified squamous epithelium and walle d by fibrotic tissue with marked lymphoid cejj infiltration and lymphoid follicle formation. Considering the clinical presentation and histological picture, a diagnosis of intraparotid first branchial cleft cyst was made. |
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