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題名 | Congenital Cervical Bronchogenic Cyst--An Unusual Cause of a Lump in the Neck=先天性頸部支氣管囊腫--頸部腫塊中罕見之病因 |
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作 者 | 彭海祁; 郭明勳; | 書刊名 | 慈濟醫學 |
卷期 | 15:6 2003.12[民92.12] |
頁次 | 頁409-412 |
分類號 | 417.6212 |
關鍵詞 | 先天性; 頸部; 支氣管囊腫; Bronchogenic cyst; Congenital; Neck; |
語文 | 英文(English) |
中文摘要 | 兒童頸部囊腫並不少見,但極少有頸部支氣管囊腫的報告,本文最近經歷一例七個月大的男童,因頸部囊腫切除手術,證實為支氣管囊腫;病童在九天大時,母親就發現其前頸部有約一分公大的腫塊,五個月大時因腫塊漸漸變大而至本院檢查,經超音波掃描,證實為囊腫,七個月大時才接受手術切除,術後恢復良好,追蹤八個月並無復發現象。支氣管囊腫好發於縱膈腔,但少數也可發生在頸部,它是胚胎時間氣管演化異常追蹤八個月院無復發現象。支氣管囊腫好發於縱膈腔,一般說來預後良好,在妔童頸部囊腫之鑑別判斷,仍應考慮此少見的疾病。 |
英文摘要 | Congenital cysts of the neck in children are not uncommon. Most of them are hygromas, or thyroglossal, branchial, or less commonly, thymic cysts. Bronchogenic cysts are rarely seen initially as a neck mass. We report herein on a case of a 7-month-old male presenting with a neck swelling since the age of 9 days. When the mass was first noticed, it was about 1 cm in diameter. At the age of 5 months, he was brought to our clinic, and the neck mass was then about 4 cm in diameter. It was a non-painful, soft anterior neck mass, and sonography showed a cystic lesion without connection to the trachea or esophagus. Total excision through a lower-neck transverse incison was performed when he was 7 months old, and microscopic examination demonstrated a cyst lined by respiratory epithelium. There was no recurrence after 8 months of follow-up. Bronchogenic cyst should be included in the differential diagnosis of congenitial cystic lesions of the neck. |
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