갑상설관낭종 및 동의 임상적 고찰
A Clinical Analysis of Thyroglossal Duct Cyst and Sinus
조용석, 박성길, 허준, 윤대근, 전성은, 조지웅, 정봉화, 박윤규, 조마해, 채승완, 안혜경, 조성진,
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조용석 ( Cho Yong-Suk )
한림대학교 의과대학 외과학교실
박성길 ( Park Sung-Gil )
한림대학교 의과대학 외과학교실
허준 ( Hur Jun )
한림대학교 의과대학 외과학교실
윤대근 ( Yoon Dae-Keun )
한림대학교 의과대학 외과학교실
전성은 ( Cheon Sung-Eun )
한림대학교 의과대학 외과학교실
조지웅 ( Cho Ji-Woong )
한림대학교 의과대학 외과학교실
정봉화 ( Chung Bong-Hwa )
한림대학교 의과대학 외과학교실
박윤규 ( Park Yoon-Kyu )
한림대학교 의과대학 외과학교실
조마해 ( Cho Ma-Hae )
한림대학교 의과대학 외과학교실
채승완 ( Chae Seoung-Wan )
한림대학교 의과대학 해부병리학교실
안혜경 ( Ahn Hye-Kyung )
한림대학교 의과대학 해부병리학교실
조성진 ( Cho Seong-Jin )
한림대학교 의과대학 해부병리학교실
KMID : 0371320030640030189
Abstract
PURPOSE: Anomalies in the thyroglossal duct are the most common midline, or paramedian cervical lesions of congenital origin. Presenting as a thyroglossal duct cyst (TGDC) or a thyroglossal duct sinus (TGDS), they are found in all age groups. This clinical study was intended to elucidate the clinical characteristics, and the outcomes, of surgical treatment of these anomalies.
METHODS: Between January 1992 and May 2002, 91 patients underwent surgery for a TGDC or a TGDS at 4 hospitals affiliated to Hallym University. The demographics of the patients, the clinical characteristics of the lesions, and the outcomes of the treatments were retrospectively evaluated. These characteristics were evaluated according to age groups; younger than 15 (38 patients) and older than 15 (53 patients) years.
RESULTS: The male to female ratio was 1.67:1 (It is better to give the actual figures.), with the first decade showing the highest incidence in the age distribution (33%). Painless masses (83.6%) were the most common presenting symptom, with most symptoms having been manifest for less than 1 year (67%). TGDCs were 90% and TGDSs were 10%. There were 62 cases of infrahyoid and 18 of suprahyoid lesions, with 80 cases on the midline and 11 on the paramedian within 2 cm from the midline. Of the paramedian lesions, 2 cases were in the younger group and 9 were in the older group. This tendency of laterality in the location by age group showed no statistical significance (p=0.172). All the patients underwent a Sistrunk operation, and one experienced a recurrence.
CONCLUSION: This study justified the Sistrunk operation as the treatment of choice for anomalies of the thyroglossal duct. The lateral lesions occurred in the old age groups more frequently. A careful approach is needed with paramedian cervial lesions in adults to avoid the loss of the proper treatment of possible hidden congenital lesions.
키워드
갑상설관낭종;갑상설관동;Sistrunk 수술
Thyroglossal duct cyst;Thyroglossal duct sinus;Sistrunk operation
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