15例甲状舌管囊肿误诊病例分析  

Analysis of 15 misdiagnosed cases of thyroglossal duct cyst

作　　者：张军军 赵倩倩 梁乐平 赵大庆 丁雪瑞 ZHANG Junjun;ZHAO Qianqian;LIANG Leping;ZHAO Daqing;DING Xuerui(Department of Otolaryngology-Head and Neck Surgery,Tangdu Hospital,Air Force Medical University,Xi’an,Shaanxi 710038,China)

机构地区：[1]空军军医大学唐都医院耳鼻咽喉头颈外科,西安710038

出　　处：《重庆医学》2024年第10期1504-1507,共4页Chongqing medicine

摘　　要：目的分析甲状舌管囊肿(TGDC)的误诊病理类型及误诊原因。方法回顾性分析2013年1月至2023年1月该院收治的173例术前临床诊断为TGDC患者的临床资料,结合术前甲状腺静态显像或术后病理检查,共发现术前临床误诊15例,分析总结误诊原因。结果14例误诊病理类型包括皮样囊肿7例、甲状舌管乳头状癌3例、副甲状腺1例、结节性甲状腺肿伴囊内出血1例、颈部淋巴结炎1例及炎性结节1例;14例患者均行标准的Sistrunk手术,术后定期随访,未见甲状腺功能减退、复发或转移。另有1例患者因术前甲状腺静态显像证实该颈部肿物为迷走甲状腺,为避免手术引起甲状腺或甲状旁腺功能减退,未进行手术治疗。结论TGDC误诊为其他疾病少见,临床医生应提高认识,避免盲目手术造成的不良后果。Objective To analyze the pathological types and causes of misdiagnosis of thyroglossal duct cyst(TGDC).Methods The clinical data of 173 patients diagnosed with TGDC before operation in Tangdu Hospital of Air Force Medical University from January 2013 to January 2023 were retrospectively analyzed.Combined with postoperative pathology,a total of 15 patients were found to be misdiagnosed before operation,and the causes of misdiagnosis were summarized.Results The pathological types of 14 misdiagnosed cases included seven cases of dermoid cyst,three cases of thyroglossal duct papillary carcinoma,one case of accessory thyroid gland,one case of nodular goiter with intracapsular hemorrhage,one case of cervical lymphadenitis and one case of inflammatory nodule.All the 14 patients underwent standard Sistrunk surgery,and regular follow-up after surgery showed no hypothyroidism,recurrence or metastasis.Preoperative static thyroid imaging proved that the neck mass was vago thyroid in one patient,and surgery was not performed to avoid hypothyroidism or parathyroidism caused by surgery.Conclusion Misdiagnosis of TGDC as other diseases is rare,clinicians should raise awareness to avoid the adverse consequences caused by blind operation.

关 键 词：颈部肿物 甲状舌管囊肿 皮样囊肿 甲状舌管癌 副甲状腺 迷走甲状腺 淋巴结炎 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]