Radiological appearance of primary branchial cleft cyst carcinoma

1999 ◽  
Vol 113 (11) ◽  
pp. 1031-1033 ◽  
Author(s):  
Ki Hwan Hong ◽  
Woo Sung Moon ◽  
Gyung Ho Chung
Keyword(s):  
Radiation Therapy ◽  
English Literature ◽  
Radical Neck Dissection ◽  
Surgical Excision ◽  
Sufficient Evidence ◽  
Branchial Cleft Cyst ◽  
Cervical Lymph Nodes ◽  
Radiological Study ◽  
Radiological Appearance ◽  
Branchial Cleft

AbstractThe hypothesis that primary branchiogenic carcinoma originates from a branchial cleft cyst is controversial. Many reports regarding primary branchiogenic carcinoma failed to provide sufficient evidence to distinguish it from metastatic cervical lymph nodes arising from previously unrecognized primary tumours. The radiological appearance of malignant transformation from a branchial cleft cyst has not been reported previously in the English literature. A radiological study is presented that confirms the primary branchiogenic carcinoma. The management in suspected cases would be wide surgical excision of the tumour including ipsilateral radical neck dissection followed by radiation therapy.

scholarly journals Branchial Cysts in Quito, Ecuador

2020 ◽  
Vol 24 (03) ◽  
pp. e347-e350
Author(s):  
Luis Pacheco-Ojeda ◽  
Andrés Ayala-Ochoa ◽  
Karla Salvador
Keyword(s):  
General Hospital ◽  
Surgical Resection ◽  
Adult Population ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Branchial Cleft Cyst ◽  
Complete Surgical Excision ◽  
Branchial Cleft ◽  
Lower Neck ◽  
Clinical Records

Introduction Branchial cleft anomalies are the second most common congenital anomaly in children. However, some lesions may not develop clinically and are not diagnosed until adulthood. The recent literature of branchial cysts (BCs) in the adult population is really scanty. For this reason, we analyzed the clinical and surgical management of the adult population treated for a BC at a tertiary care general hospital. Methods A retrospective review of the clinical records of all the patients with histological diagnosis of BC who were surgically treated at the Social Security Hospital in Quito, Ecuador, was performed. Fifty-one patients (27 women) with congenital anomalies of the 2nd (43 patients with cysts) and 3rd (6 patients with cysts and 2 with fistula) branchial arches were diagnosed and treated. Diagnosis was made on clinical grounds and by computed tomography scan. Results The 43 patients with a 2nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3rd branchial cleft cyst underwent surgical resection through a lower-neck transverse incision, and the 2 patients with clinical fistula in the lower aspect of the neck were operated on via an elliptical incision around this external fistula opening. Postoperative evolution was uneventful in all patients. Conclusions Branchial cysts can occasionally be diagnosed in adult patients in the setting of a general hospital population. A correct clinical and imaging assessment was diagnostic in most patients. Complete surgical resection was curative in all our patients, and postoperative complications were exceptional.

scholarly journals Cervical thymic cyst in adult: a rare entity

2019 ◽  
Vol 5 (4) ◽  
pp. 1088
Author(s):  
Rohaizam Bin Japar Jaafar ◽  
Glen Johannes Franciscus Kemps ◽  
Ing Bing Tan ◽  
Alida Annechien Postma
Keyword(s):  
Surgical Excision ◽  
Neck Mass ◽  
Thymic Cyst ◽  
Rare Entity ◽  
Lateral Neck ◽  
Adult Onset ◽  
Branchial Cleft Cyst ◽  
Thymic Cysts ◽  
Branchial Cleft ◽  
Lateral Neck Swelling

<p>Cervical thymic cysts in adults are rare and seldom diagnosed preoperatively as it may mimic other cystic cervical swellings like a branchial cleft cyst. We present our first encounter with an adult-onset cervical thymic cyst presenting as a lateral neck mass as the sole symptom. Clinical, radiological and cytological evaluations are excellent tools to approach and assess cervical thymic cysts. Histopatholgical examination is the only mean to provide a definitive diagnosis. Adult-onset cervical thymic cyst is a rare entity but should be included in the differential diagnosis for lateral neck swelling. Surgical excision is both diagnostic and therapeutic, once malignancy has been exluded.</p>

Carcinoid Tumor of the Larynx

1981 ◽  
Vol 90 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Boris Gapany-Gapanaviĉius ◽  
Samuel Kenan
Keyword(s):  
Lymph Nodes ◽  
Neck Dissection ◽  
Internal Jugular Vein ◽  
Laryngeal Carcinoma ◽  
Total Laryngectomy ◽  
Jugular Vein ◽  
Radical Neck Dissection ◽  
Surgical Excision ◽  
Cervical Lymph Nodes ◽  
Electron Microscopical

Primary carcinoid of the larynx is an unusual neoplasm. Only one case could be traced in the literature so far. Another case, a 55-year-old male patient, is presented and discussed. The tumor proved to be malignant, showing histological, histochemical and electron microscopical characteristics of a carcinoid. Initially there was a striking discrepancy between the scanty findings in the larynx and the wide metastatic spread of the tumor into the cervical lymph nodes along the internal jugular vein, and the progression of the process was markedly slower than that of laryngeal carcinoma. Despite the massive dose of radiotherapy that had been administered after radical neck dissection in an attempt to preserve the larynx, the tumor continued to expand, infiltrating the laryngeal tissues and causing stenosis that necessitated total laryngectomy, thus again proving that the treatment of choice in laryngeal carcinoid should be wide surgical excision.

scholarly journals Life-threatening Cardiac Failure: A Rare Complication of Branchial Cleft Cyst

2014 ◽  
Vol 5 (3) ◽  
pp. 158-160
Author(s):  
Shi Da Felix Yam ◽  
Tak Lit Derek Fung ◽  
Lap Chiu Donald Tang
Keyword(s):  
Cardiac Failure ◽  
Carotid Sinus ◽  
Vasovagal Syncope ◽  
Rare Complication ◽  
Surgical Excision ◽  
Branchial Cleft Cyst ◽  
Carotid Sinus Syndrome ◽  
Life Threatening ◽  
Branchial Cleft ◽  
Needle Decompression

ABSTRACT Branchial cleft cyst is a well-known head and neck anomaly. Patients commonly presented with cosmetic problems. Complications including pressure symptoms, pain and superimposed infection have been reported. Rarely, it could present with carotid sinus syndrome. Case report We reported a case who presented with vasovagal syncope and cardiogenic shock was found to have huge branchial cleft cyst. Carotid sinus syndrome secondary to compression by the branchial cyst was suspected. It was managed with inotropic support and needle decompression. She later readmitted for superimposed infection which was treated by antibiotics. Surgical excision was performed to render her complete cure. This was the second reported case of a benign branchial cleft cyst causing cardiac compromise in the literature. Conclusion Benign branchial cleft cyst may present with lifethreatening carotid sinus syndrome. Timely needle decompression should be performed for temporary relieve and definitive surgery is required for cure. How to cite this article Yam SDF, Fung TLD, Tang LCD. Life-threatening Cardiac Failure: A Rare Complication of Branchial Cleft Cyst. Int J Head Neck Surg 2014;5(3):158-160.

scholarly journals Type III Second Branchial Cleft Cyst

2012 ◽  
Vol 3 (2) ◽  
pp. 112-114
Author(s):  
Priti Rakesh Dhoke ◽  
Sonali Prabhakar Khadakkar ◽  
Kanchan Sandeep Dhote ◽  
Samir Vijay Choudhary ◽  
Vivek Vishwas Harkare ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Cervical Region ◽  
External Carotid ◽  
Branchial Cleft Cyst ◽  
Tissue Mass ◽  
Type Iii ◽  
Complete Surgical Excision ◽  
Second Branchial Cleft Cyst ◽  
Branchial Cleft

ABSTRACT Cervical congenital cystic masses constitute an uncommon group of lesions usually diagnosed in infancy and childhood. Branchial cleft cysts are congenital lateral neck masses which manifest in the adolescents or in adulthood. They arise from the remnants of the branchial apparatus of embryonic life. Here, in this case, patient was presented with branchial cleft cyst at the age of 70 years. Computed tomography of neck showed well-circumscribed soft tissue mass extending from parotid region to lower cervical region with small ill-defined extension between internal and external carotid arteries which is pathognomonic of type III second branchial cleft cyst. Complete surgical excision was done. Histopathological examination confirmed the diagnosis of branchial cleft cyst. How to cite this article Choudhary SV, Khadakkar SP, Harkare VV, Dhoke PR, Dhote KS, Kamal NP. Type III Second Branchial Cleft Cyst. Int J Head Neck Surg 2012;3(2):112-114.

Unusual Development of Second Branchial Cleft Cyst in an Adult after URTI: Diagnosis and Detailed Approach

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Essa Tawfeeq
Keyword(s):  
Surgical Excision ◽  
Upper Respiratory Tract ◽  
Branchial Cleft Cyst ◽  
Minimal Scarring ◽  
Cervical Swelling ◽  
Old Adult ◽  
Second Branchial Cleft Cyst ◽  
Branchial Cleft ◽  
Lateral Neck Swelling ◽  
Branchial Cleft Cysts

Branchial cleft cyst is a congenital anomaly benign in nature. It usually appears in the lateral aspect of the neck and typically presents as a unilateral fluctuant mass. We present here a 30 years old adult who is previously healthy complaining of five years history of a left lateral neck swelling following an upper respiratory tract infection. Multiple aspirations were done but all resulted in recurrence of condition. Investigations have been done and a CT neck performed which showed a complicated second branchial cleft cyst. The definite treatment for branchial cleft cysts is surgery. He underwent surgical excision of the cyst with minimal scarring. This case is important due to the limited literature done in adults with branchial cleft cysts, in addition to highlighting the correct sequence of management when detecting a lateral cervical swelling.

Parapharyngeal (retrostyloid)—third branchial cleft cyst

1991 ◽  
Vol 105 (9) ◽  
pp. 790-792 ◽  
Author(s):  
E. J. Ostfeld ◽  
J. M. Wiesel ◽  
S. Rabinson ◽  
L. Auslander
Keyword(s):  
Surgical Excision ◽  
Branchial Arch ◽  
Branchial Cleft Cyst ◽  
The Third ◽  
Branchial Cleft

AbstractThis is the first description of successful surgical excision of a parapharyngeal (retrostyloid compartment) cyst remnant of the third branchial arch.

scholarly journals First Branchial Cleft Cyst Type II

2018 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Differential Diagnosis ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Surgical Excision ◽  
Type Ii ◽  
Neurological Manifestations ◽  
Branchial Cleft Cyst ◽  
Branchial Cleft ◽  
The Right

Branchial cleft defects are interestingly rare and so are often not considered as a differential diagnosis. The following is an incident of the anomalie in a 20 year old Sudanese female with a swelling that was misdiagnosed and hence not treated adequately. The swelling started 2 years ago on the right parotid area with no neurological manifestations of facial nerve injury, with a cystic content that ruptured leaving a fistula behind. After MRI was done the fistula was determined, surgical excision of both the swelling and fistula was done. On follow up, no recurrence was noted.

Management of a prestyloid parapharyngeal first branchial cleft cyst from puncture to surgical excision and how a routine procedure can turn into an emergency

2021 ◽  
Vol 14 (1) ◽  
pp. e238727
Author(s):  
Lukas S Fiedler
Keyword(s):  
Differential Diagnosis ◽  
Parapharyngeal Space ◽  
Surgical Excision ◽  
Rare Entity ◽  
Branchial Cleft Cyst ◽  
Benign Lesions ◽  
Routine Procedure ◽  
Emergency Tracheostomy ◽  
Mri Scans ◽  
Branchial Cleft

The anatomy of the parapharyngeal space (PPS) is complex and the differential diagnosis of tumours in this area broad. Although primary tumours of the PPS account for only 0.5% of head and neck neoplasms and are benign lesions in 80% of the cases, the surgical management is crucial and needs specific planning and evaluation of CT and/or MRI scans. In literature, there are several ways to surgically deal with PPS tumours and due to location and differentiation, can reach from transparotid, submandibular transcervical and transoral approaches, extending in a mandibulotomy, further radiotherapy. Parapharyngeal cleft cysts are extremely rare and their management can be complex. We describe the presentation, the diagnosis and further management of a 71-year-old woman with a 6 cm first branchial cleft cyst in the PPS from puncture over emergency tracheostomy to elective excision via a combined transcervical/transparotid and transoral approach. We highlight the importance of the differential diagnosis and the and the correct clinical management of this rare entity.

Sclerotherapy of Branchial Cleft Cysts Using OK-432

2009 ◽  
Vol 141 (3) ◽  
pp. 329-334 ◽  
Author(s):  
Myung-Gu Kim ◽  
No-Hee Lee ◽  
Jae-Ho Ban ◽  
Kyung-Chul Lee ◽  
Sung-Min Jin ◽  
...  
Keyword(s):  
Partial Response ◽  
Adverse Effects ◽  
Case Series ◽  
Surgical Excision ◽  
Complete Regression ◽  
Branchial Cleft Cyst ◽  
Local Pain ◽  
Before And After ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

OBJECTIVES: OK-432 has been widely used to treat lymphangioma and ranula; however, there are few studies for its use in treatment of branchial cleft cyst (BCC). We conducted this study to evaluate the effectiveness of sclerotherapy using OK-432 in treatment of BCC. STUDY DESIGN AND SETTING: Case series with planned data collection. SUBJECTS AND METHODS: From 2004 to 2007, we treated 23 patients with BCC using OK-432 sclerotherapy. Of these 23 patients, 18 had unilocular cysts and five had multilocular cysts. The sizes of the BCCs were measured and compared before and after treatment. RESULTS: Of the 23 cases, 14 (60.8%) showed complete regression; all of these were unilocular cysts. Of the remaining individuals with unilocular cysts, only one patient failed to show any response. This individual subsequently underwent surgical excision. A total of five patients with multilocular cysts showed no or partial response and subsequently underwent surgical excision. Minor adverse effects including fever and local pain were reported by 13 (56.5%) patients. CONCLUSION: These results suggest that sclerotherapy using OK-432 is an effective and safe treatment modality for BCC, especially for unilocular cysts. Sclerosing of unilocular BCC with OK-432 should therefore be considered before surgical excision.

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