正中頸嚢腫の1例
1973 年 16 巻 5 号 p. 573-575,501
詳細
1973 年 16 巻 5 号 p. 573-575,501
A man aged 42 years came to our clinic with anterior swelling in the middle of the neck. He had a large hemangioma of the tongue which was treated by both radiotherapy and surgery fifteen years ago.
Some yellowish fluid was obtained on puncture and 38% Lipiodol was injected. X-ray examination demonstrated that the cyst extended to the posterior surface of the hyoid bone.
According to Sistrunk's method, the cyst was completely extirpated with partial resection of the hyoid bone.
Pathological examination was compatible with median cervical cyst. The cyst wall was chiefly lined with ciliated epithelium. The thyroglossal duct is either situated 1. in front of the hypid bone, 2. through the hyoid bone, or 3. behind the hyoid bone. For the purpose of prevention of recurrence, partial resection of the hyoid bone is necessary. The authors concluded that Sistrunk's method is most preferable.
