甲状舌管囊肿(瘘)172例临床病理研究

目的：研究甲状舌管囊肿（瘘）的临床病理特点。方法：回顾性总结172例甲状舌管囊肿（瘘）的临床资料，光镜下观察其组织学表现。结果：172例中，10岁以下儿童91例（52．9％），男女之比为1．8：1，发生于舌骨下部位106例（61．2％），复发30例（17．4％）；囊肿衬里上皮为假复层纤毛柱状上皮54例（31．4％）、复层鳞状上皮40例（23．3％）、单层上皮8例（4．7％）、假复层纤毛柱状上皮伴有复层鳞状上皮7例（4．1％）和假复层纤毛柱状上皮伴有单层上皮7例（4．1％）。结论：甲状舌管囊肿（瘘）好发于10岁以下男性，且舌骨下多见，组织学表现具有多样性。

A Clinicopathological Study of Thyroglossal Duct Cyst(Fistula) 172 Cases Report

Objective To investigate the clinicopathological characteristics of thyroglossal duct cyst(TDC) retrospectively . Methods The clinical material of 172 caese of TDC was analysed and histopathological features were observed microscopically. Results Among 172 cases of TEC, 91 cases(52.9%) were presented before age 10. The ratio of male and female was 1.8:1. 61.2 percent of the cysts were occurred below hyoid bone. The recurrence rate was 17. 4 % (30 cases) . The lining epithelium of the cysts may be pseudostratified ciliated columnar epithelium(31.4%), stratified squamous epithelium( 23.3 % ) , simple epithelium( 4.7%), pseudostratified ciliated columnar epithelium mixed with stratified squamous epithelium( 4. 1%) and pseudostratified ciliated columnar epithelium mixed with simple epithelium (4.1%). Co-nalusion Thyroglossal duct cyst was mostly occurred in the first decade of life and showed male prediction. The most cases were located below hyoid bone. The histological features were various.