경부의 낭성 종물의 임상적 고찰

Background and Objectives: The cystic neck mass is easily found by physical examination and have numerous origin. The aim of this retrospective study was to evaluate the characteristics of cystic neck mass. Materials and Methods: Two hundred sixty-nine patients with cystic neck mass were reviewed during the period January 1985 to December 2003. The cystic neck mass in this series were classified as either midline or laterocervical region. Each patient underwent operation and histopathologic examination was performed. Results: The cytic neck mass of midline included the thyroglossal duct cyst (n=89), dermoid cyst (n=5), epidermoid cyst (n=5), and ranula (n=1). The most common cystic neck mass of laterocervical region was ranula (n=77), followed by branchial cleft cyst (n=49), lymphangioma (n=14), epidermoid cyst (n=7), and dermoid cyst (n=1). Most of the cystic lesions were found before the 3th decade (70%). There was no significant sexual difference (male 49%, female 51%). The most common presenting symptoms was palpable mass and the duration of symptoms less than 1 year was most common (63.6%). Conclusions: Two hundred sixty-nine patients with cystic neck mass were presented with respect to their clinical features. This study is helpful in understanding the characteristics of cervical cystic lesions. (J Clinical Otolaryngol 2004;15:234–238)