误诊为甲状腺癌的无症状梨状窝瘘3例  

Asymptomatic pyriform sinus fistula misdiagnosed as thyroid cancer: report of 3 cases

作　　者：许咪咪 陈良嗣[1] 彭雅琪 盛晓丽 梁璐[2] 宫喜翔[3] 黄舒玲 张贝 Xu Mimi;Chen Liangsi;Peng Yaqi;Sheng Xiaoli;Liang Lu;Gong Xixiang;Huang Shuling;Zhang Bei(Department of Otorhinolaryngology Head and Neck Surgery,Guangdong Provincial People′s Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510080,China;Department of Otorhinolaryngology,Guangzhou First People′s Hospital,Guangzhou 510515,China;Department of Otorhinolaryngology Head and Neck Surgery,People′s Hospital of Yuxi City,Yuxi 653100,China;Department of Otorhinolaryngology Head and Neck Surgery,Shenzhen Children′s Hospital,Shenzhen 518038,China;Department of Otorhinolaryngology Head and Neck Surgery,the University of Hong Kong-Shenzhen Hospital,Shenzhen 518053,China)

机构地区：[1]南方医科大学附属广东省人民医院(广东省医学科学院)耳鼻咽喉头颈外科,广州510080 [2]广州市第一人民医院耳鼻咽喉科,广州510515 [3]玉溪市人民医院耳鼻咽喉头颈外科,玉溪653100 [4]深圳市儿童医院耳鼻咽喉头颈外科,深圳518038 [5]香港大学深圳医院耳鼻咽喉头颈外科,深圳518053

出　　处：《中华耳鼻咽喉头颈外科杂志》2023年第5期492-495,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：梨状窝瘘(pyriform sinus fistula,PSF)是一种较罕见的颈部鳃源性畸形,其经典表现为继发于上呼吸道感染后的颈深部感染,如急性化脓性甲状腺炎、甲状腺脓肿、颈深部脓肿、颈部蜂窝织炎等。未曾发生颈部感染的无症状病例,可称之为"无症状PSF",其临床症状不典型,难以被及时准确诊断。本文通过回顾3例初诊被误诊为甲状腺癌的无症状PSF,并结合文献复习,旨在提高对该病的认知,避免误诊误治。

关 键 词：无症状 误诊误治 梨状窝瘘 颈深部脓肿 颈深部感染 甲状腺癌 甲状腺脓肿 颈部蜂窝织炎 

分 类 号：R762[医药卫生—耳鼻咽喉科]