Konjenital Boyun Kitleleri: Bir Üçüncü Basamak Sağlık Merkezinin Retrospektif Çalışması

Kayıtlı İndeksler

Makale Gönder

Arama

Arama:

Yazara göre arama

Başlığa göre arama

Özete göre arama

Anahtar kelimeye göre arama

ORIGINAL RESEARCH

Congenital Neck Masses: A Retrospective Study of a Tertiary Health Center

Konjenital Boyun Kitleleri: Bir Üçüncü Basamak Sağlık Merkezinin Retrospektif Çalışması

Received Date : 21 Jun 2019
Accepted Date : 03 Jul 2019

Özet PDF Benzer Makaleler

Ayça ANT^a, Samet ÖZLÜGEDİK^a

^aKulak Burun Boğaz Hastalıkları Kliniği, Sağlık Bilimleri Üniversitesi Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ankara, TÜRKİYE

Doi: 10.24179/kbbbbc.2019-70276 - Makale Dili: TR

KBB ve BBC Dergisi 2019;27(2):57-62

Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

ABSTRACT

Objective: Congenital neck masses are the result of abnormal embryogenesis in the head and neck development. In this study, we aimed to evaluate the demographic and clinicopathological features of the congenital neck masses operated in our clinic and to provide a clinical perspective. Material and Methods: Sixty-nine patients who underwent surgery with the preliminary diagnosis of the congenital neck mass, in the clinic of ear-nose and throat diseases of a tertiary health center between 2007-2017 were included in the study. The patients were evaluated in terms of the demographic features, signs and symptoms, surgery, pathological diagnosis and features, postoperative complications and follow-up findings. Results: Of the patients, 32 (46%) were male, and 37 (54%) were female. The median age was 29 (age range: 2-85). The general complaint was a mass in the neck, the second was a fistulized skin lesion. The most common pathology was the branchial cleft anomaly with 32 (46%) cases, 17 (25%) thyroglossal duct cysts, 10 (14.5%) epidermoid cysts and 10 (14.5%) other pathologies were observed, respectively. The most common branchial cleft anomaly was the second branchial cleft anomaly. Complications (hematoma, wound site problems, etc.) were most frequently observed in the thyroglossal duct cyst, and the focus of papillary thyroid cancer was also present in one patient with thyroglossal duct cyst. Conclusion: Although congenital neck masses occur during the intrauterine period, the symptoms may appear in later years. This should be predicted in the differential diagnosis of inflammatory or neoplastic lesions. Although the malignant transformation or content is rare, the diagnosis, treatment, and follow- up are important.

Keywords: Branchial cleft anomalies; neck; thyroglossal duct cyst

ÖZET

Amaç: Konjenital boyun kitleleri, baş ve boyun gelişimindeki anormal embriyogenez sonucu oluşmaktadır. Bu çalışmada, kliniğimizde opere edilen konjenital boyun kitlelerinin demografik ve klinikopatolojik özelliklerini değerlendirmek ve klinik bir bakış açısı sağlamak amaçlanmıştır. Gereç ve Yöntemler: Konjenital boyun kitlesi ön tanısıyla, 2007-2017 yılları arasında bir üçüncü basamak sağlık merkezinin kulak burun boğaz hastalıkları kliniğinde cerrahi uygulanan 69 hasta çalışmaya dâhil edildi. Hastalar demografik özellikler, belirti ve bulgular, cerrahi, patolojik tanı ve özellikler, cerrahi sonrası komplikasyonlar ve takip bulguları yönünden değerlendirildi. Bulgular: Hastaların 32 (%46)’si erkek, 37 (%54)’si kadın idi. Ortanca yaş 29 (yaş aralığı: 2-85) yıl idi. Genel başvuru şikâyeti boyunda kitle, ikinci sıklıkta ise cilde fistülize lezyon idi. En sık 32 (%46) olguyla brankial yarık anomalisi, sonra sırasıyla 17 (%25) tiroglossal kanal kisti, 10 (%14,5) epidermoid kist ve 10 (%14,5) diğer patolojiler izlendi. Brankial yarık anomalilerinden en sık ikinci brankial yarık anomalisi mevcuttu. Komplikasyonlar (hematom, yara yeri problemleri vb.) en sık tiroglossal kanal kistinde izlendi, bir olguda da papiller tiroid kanseri odağı mevcuttu. Sonuç: Konjenital boyun kitleleri intrauterin dönemde oluşmasına rağmen belirtileri ilerleyen yaşlarda ortaya çıkabilir. Bu durum, inflamatuar veya neoplastik lezyonların ayırıcı tanısında öngörülmelidir. Malign transformasyon veya içerik nadir olsa da; bu sebeple uygun tanı, tedavi ve takip önemlidir.

Anahtar Kelimeler: Objective: Congenital neck masses are the result of abnormal embryogenesis in the head and neck development. In this study, we aimed to evaluate the demographic and clinicopathological features of the congenital neck masses operated in our clinic and to provide a clinical perspective. Material and Methods: Sixty-nine patients who underwent surgery with the preliminary diagnosis of the congenital neck mass, in the clinic of ear-nose and throat diseases of a tertiary health center between 2007-2017 were included in the study. The patients were evaluated in terms of the demographic features, signs and symptoms, surgery, pathological diagnosis and features, postoperative complications and follow-up findings. Results: Of the patients, 32 (46%) were male, and 37 (54%) were female. The median age was 29 (age range: 2-85). The general complaint was a mass in the neck, the second was a fistulized skin lesion. The most common pathology was the branchial cleft anomaly with 32 (46%) cases, 17 (25%) thyroglossal duct cysts, 10 (14.5%) epidermoid cysts and 10 (14.5%) other pathologies were observed, respectively. The most common branchial cleft anomaly was the second branchial cleft anomaly. Complications (hematoma, wound site problems, etc.) were most frequently observed in the thyroglossal duct cyst, and the focus of papillary thyroid cancer was also present in one patient with thyroglossal duct cyst. Conclusion: Although congenital neck masses occur during the intrauterine period, the symptoms may appear in later years. This should be predicted in the differential diagnosis of inflammatory or neoplastic lesions. Although the malignant transformation or content is rare, the diagnosis, treatment, and follow- up are important.

KAYNAKLAR

Pincus RL. Congenital neck masses and cysts. In: Bailey BJ, Calhoun KH, eds. Head and Neck Surgery: Otolaryngology. 3rd ed. New York: Lippincott-Raven; 2001. p.931-4.
Rosa PA, Hirsch DL, Dierks EJ. Congenital neck masses. Oral Maxillofacial Surg Clin North Am. 2008;20(3):339-52. [Crossref] [PubMed]
Al-Khateeb TH, Al Zoubi F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg. 2007;65 (11):2242-7. [Crossref] [PubMed]
Hsieh YY, Hsueh S, Hsueh C, Lin JN, Luo CC, Lai JY, et al. Pathological analysis of congenital cervical cysts in children: 20 years of experience at Chang Gung Memorial Hospital. Chang Gung Med J. 2003;26(2):107-13.
Marsot-Dupuch K, Levret N, Pharaboz C, Robert Y, el Maleh M, Meriot P, et al. [Congenital neck masses: embryonic origin and diagnosis. Report of the CIREOL]. J Radiol. 1995;76(7):405-15.
Torsiglieri AJ Jr, Tom LW, Ross AJ 3rd, Wetmore RF, Handler SD, Potsic WP. Pediatric neck masses: guidelines for evaluation. Int J Pediatr Otorhinolaryngol. 1988;16(3):199-210. [Crossref]
Rizzi MD, Wetmore RF, Potsic WP. Differential diagnosis of neck masses. In: Flint PW, Haughey BH, Lund V, Niparko J, Robbins KT, Thomas JR, et al., eds. Cummings Otolaryngology. 6th ed. Philadelphia, PA: Elsevier, Saunders; 2015. p.3055-64.
Estomba CM, Suarez JA, Gonzalez-Garcia JA, Larruscain E, Garcia L, Altuna X. Second branchial cleft cysts and other lateral cystic lesions in the neck: a five-year retrospective study. B-ENT. 2017;13(2):137-41.
Som PM, Smolev WRR, Curtin HD. Congenital lesion of the neck. In: Som PM, Curtin HD, eds. Head and Neck Imaging. 1st ed. St Louis: Mosby-Year Book; 2003. p.1828-64.
Sheahan P, O'leary G, Lee G, Fitzgibbon J. Cystic cervical metastases: incidence and diagnosis using fine needle aspiration biopsy. Otolaryngol Head Neck Surg. 2002;127(4): 294-8. [Crossref] [PubMed]
Enepekides DJ. Management of congenital neck masses. Facial Plast Surg Clin North Am. 2001;9(1):131-45.
Lin S, Tseng FY, Hsu CJ, Yeh TH, Chen YS. Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol. 2008;29(2):83-7. [Crossref] [PubMed]
Guarisco JL. Congenital head and neck masses in infants and children. Part II. Ear Nose Throat J. 1991;70(2):75-82.
Acierno SP, Waldhausen JHT. Congenital cervical cysts, sinuses, and fistulae. Otolaryngol Clin North Am. 2007;40(1):161-76. [Crossref] [PubMed]
Roback SA, Telander RL. Thyroglossal duct cysts and branchial cleft anomalies. Semin Pediatr Surg. 1994;3(3):142-6.
Ostlie DJ, Burjonrappa SC, Snyder CL, Watts J, Murphy JP, Gittes GK, et al. Thyroglossal duct infections and surgical outcomes. J Pediatr Surg. 2004;39(3):396-9. [Crossref] [PubMed]
Rohof D, Honings J, Theunisse HJ, Schutte HW, van den Hoogen FJ, van den Broek GB, et al. Recurrences after thyroglossal duct cyst surgery: results in 207 consecutive cases and review of the literature. Head Neck. 2015;37(12):1699-704. [Crossref] [PubMed]
Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Presutti L, Re M. Clinical presentation and treatment outcomes of thyroglossal duct cysts: a systematic review. Int J Oral Maxillofac Surg. 2015;44(1):119-26. [Crossref] [PubMed]
Bataineh AB, Mansour MJ. Extraoral epidermoid cysts. Br J Oral Maxillofac Surg. 1997;35(1):49-51. [Crossref]