Imaging for Parapharyngeal Space Masses, Second Branchial Cleft Cyst

Tumors of the parapharyngeal space (PPS) are rare, most originate from salivary and neurogenic tissues, and most are benign. However, there are some rarer masses in the PPS, with just a few published reports in the literature worldwide, and we may not consider them in the differential diagnosis of PPS neoplasms. We report three cases of rare masses in the PPS: Warthin’s tumor, branchial cleft cyst, and carcinoma ex pleomorphic adenoma. The three patients were admitted to our department with complaints of painless swelling in the lower side of the right face or a long history of snoring; diagnoses were confirmed histopathologically. An endoscopy-assisted transoral approach was used that allowed wide visibility for safe resection and resulted in a short hospitalization time and good functional and cosmetic outcomes. All patients have been followed to the current time, and there have been no recurrences. The transoral endoscopy-assisted approach appears to be safe, effective, and less invasive for excision of masses in the PPS.

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Solitary cystic metastatic lymph node of occult human papillomavirus-related oropharyngeal cancer mimicking second branchial cleft cyst

Medicine ◽

10.1097/md.0000000000017800 ◽

2019 ◽

Vol 98 (44) ◽

pp. e17800

Author(s):

Han-Hsuan Liang ◽

Chia-Yuen Chen ◽

Wei-Yu Chen ◽

Tsung-Ming Chen ◽

Wing P. Chan

Keyword(s):

Human Papillomavirus ◽

Lymph Node ◽

Oropharyngeal Cancer ◽

Metastatic Lymph Node ◽

Branchial Cleft Cyst ◽

Metastatic Lymph ◽

Second Branchial Cleft Cyst ◽

Branchial Cleft

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Oropharyngeal second branchial cleft cyst

International Journal of Pediatric Otorhinolaryngology Extra ◽

10.1016/j.pedex.2007.06.005 ◽

2007 ◽

Vol 2 (4) ◽

pp. 222-224 ◽

Cited By ~ 5

Author(s):

T.S. Anand ◽

Shashidhar Tatavarty ◽

Swatilika Pal ◽

Ekta Chhabra ◽

Saumitra Kumar

Keyword(s):

Branchial Cleft Cyst ◽

Second Branchial Cleft Cyst ◽

Branchial Cleft

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Oropharyngeal second branchial cleft cyst

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2007.06.027 ◽

2007 ◽

Vol 71 (12) ◽

pp. 1933

Keyword(s):

Branchial Cleft Cyst ◽

Second Branchial Cleft Cyst ◽

Branchial Cleft

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Second Branchial Cleft Cyst

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2013.11.011 ◽

2014 ◽

Vol 47 (1) ◽

pp. 76-77 ◽

Cited By ~ 1

Author(s):

Andrew L. Makowski

Keyword(s):

Branchial Cleft Cyst ◽

Second Branchial Cleft Cyst ◽

Branchial Cleft

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Second Branchial Cleft Cyst: A Case Report

Medical Science and Discovery ◽

10.36472/msd.v8i2.483 ◽

2021 ◽

Vol 8 (2) ◽

pp. 140-142

Author(s):

Mahir Tayfur ◽

Mecdi Gurhan Balcı

Keyword(s):

Cystic Mass ◽

Abnormal Development ◽

Surrounding Tissue ◽

Fetal Life ◽

Branchial Cleft Cyst ◽

Embryonal Development ◽

Second Branchial Cleft Cyst ◽

Branchial Cleft ◽

Branchial Cleft Cysts ◽

Branchial Anomalies

Objective: Branchial anomalies are congenital pathologies that are seen in the lateral region of the neck and are generally benign. The branchial clefts develop in the 2nd-7th weeks of fetal life as embryonal development. The branchial anomalies are caused by non-disappearance, abnormal development and, incomplete emerger of the branchial clefts and pockets during embryonal development. The branchial anomalies are generally seen as the cyst. The most common cyst was the second branchial cleft cyst with 95%. Their diameter is usually a few centimeters. Case: A 37-year old male patient was admitted to the hospital because of a swelling on the left side of his neck for four years. Physical examination revealed a mobile cystic mass in level 2 at the upper left jugular region of the neck. The cystic mass and the surrounding lymph nodes were excised and sent to the pathology laboratory. A cystic mass, approximately 5x4x3.5 cm in size, containing cystic areas was observed macroscopically. Microscopically, the cyst was lined with squamous epithelium and contained large lymphocyte groups in the subepithelial area. The case was reported as the branchial cleft cyst. Conclusion: Branchial cleft cysts should be excised before reaching large sizes, as they may cause pain and pressure on the surrounding tissue. In addition, it should be kept in mind that malignancy may develop from branchial cleft cysts, although rare.

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