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題 名 | A Type Ⅱ First Branchial Cleft Cyst Masquerading as an Infected Parotid Warthin's Tumor=第二型第一對鰓裂囊腫疑似腮腺囊狀腺淋巴瘤 |
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作 者 | 陳盟方; 翁世樺; 容世明; 陳耀亮; 張凱評; | 書刊名 | 長庚醫學 |
卷 期 | 29:4 民95.07-08 |
頁 次 | 頁435-439 |
分類號 | 416.8 |
關鍵詞 | 第一對鰓裂囊腫; 腮腺腫瘤; 腮腺囊狀腺淋巴瘤; First branchial cleft cyst; Parotid mass; Warthin's tumor; |
語 文 | 英文(English) |
中文摘要 | 腮腺腫塊的診斷,主要是依據詳細的病史和理學檢查。影像學檢查包括超音波、電腦斷層、和核磁共振,可提供重要的診斷資訊,但對於一些較少見的腮腺腫塊,幫助卻是有限。第一對鰓裂囊腫只佔所有鰓裂異常的1%,因其稀少性,再加上臨床醫師對其症狀不甚熟悉,因此常被誤診。我們報告一個第二型第一對鰓裂囊腫疑似腮腺囊狀腺淋巴瘤之病例,主要是提醒臨床醫師,稀少的第二型第一對鰓裂囊腫,可能位於腮腺的深層且以疑似腮腺囊狀腺淋巴瘤和臨床症狀來表現。我們討論第一對鰓裂囊腫之形成及臨床症狀,以期能正確的在術前診斷第二型第一對鰓裂囊腫,而避免可能的後遺症。 |
英文摘要 | The diagnosis of a parotid mass usually depends on thorough history taking and physical examination. Diagnostic modalities, including ultrasonographic examinations, computed tomography and magnetic resonance images, may also provide substantial information but their accuracy for diagnosis is sometimes questionable, especially in differentiating some rare neoplasms. First branchial cleft cysts (FBCCs) are rare causes of parotid swelling and comprise less than 1% of all branchial anomalies. They are frequently misdiagnosed due to their rarity and unfamiliar clinical signs and symptoms. We present a case of type II FBCC masquerading as an infected parotid Warthin’s tumor. We also review the clinical signs and symptoms of FBCCs in order to remind clinicians that this rare branchial anomaly can mimic an infected Warthin’s tumor and may be seated in the deep lobe of the parotid gland. By making an accurate pre-operative diagnosis of type II FBCC, we can minimize surgical morbidity and avoid incomplete resection and possible recurrence. |
本系統中英文摘要資訊取自各篇刊載內容。