An unusual presentation of branchial cyst mimicking carotid body tumor

Branchial cleft anomalies are a common cause of lateral neck masses and may present with infection, cyst enlargement or fistulae. Abscesses and necrotic adenopathy can also be difficult to distinguish from a branchial cyst, particularly if it has previously been infected. Here we report an unusual presentation, a case of a branchial cleft cyst in a 19-year old girl completely encasing the carotid bifurcation and encircling the hypoglossal nerve mimicking a carotid body tumour

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Fourth Branchial Anomaly Presenting with a Lateral Neck Mass in a Neonate

Journal of Neonatal Surgery ◽

10.47338/jns.v3.98 ◽

2014 ◽

Vol 3 (3) ◽

Cited By ~ 1

Author(s):

Tae-Kyung Yoo ◽

Soo-Hong Kim ◽

Hyun-Young Kim ◽

Kwi-Won Park

Keyword(s):

Differential Diagnosis ◽

Neck Mass ◽

Lateral Neck ◽

The Third ◽

Neck Masses ◽

Important Differential Diagnosis ◽

Branchial Cleft Anomalies ◽

Uncommon Case ◽

Branchial Cleft ◽

Branchial Anomalies

Branchial cleft anomalies are an important differential diagnosis in congenital neck masses in infants. The third and fourth branchial anomalies are rare branchial cleft anomalies, which are hard to differentiate. We report here an uncommon case of the fourth branchial anomaly that was presented as an asymptomatic neck mass in a neonate.

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Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary: Navigating a Diagnostic Dilemma

Case Reports in Otolaryngology ◽

10.1155/2013/405342 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Douglas S. Ruhl ◽

Mark F. Sheridan ◽

Joseph C. Sniezek

Keyword(s):

Papillary Thyroid Carcinoma ◽

Thyroid Carcinoma ◽

Total Thyroidectomy ◽

Thyroid Tissue ◽

Lateral Neck ◽

Papillary Thyroid ◽

Branchial Cleft Cyst ◽

Diagnostic Dilemma ◽

Neck Masses ◽

Branchial Cleft

We report a rare case of papillary thyroid carcinoma incidentally found within a branchial cleft cyst. Only four other cases have been described in the literature. A total thyroidectomy and selective neck dissection was performed, and no evidence of occult primary disease was found after review of fine sections. Branchial cleft cysts are the most common lateral neck masses. Ectopic thyroid tissue within a branchial cleft cyst is an unusual phenomenon, and papillary thyroid carcinoma arising from this tissue is extremely rare. Clinicians are left with a diagnostic dilemma when presented with thyroid tissue neoplasm within a neck cyst in the absence of a thyroid primary—is this a case of metastatic disease with a missed primary or rather carcinoma arising in ectopic thyroid tissue? A thorough discussion of the etiologies of these lateral neck masses is reviewed including the embryogenesis of thyroid tissue in a branchial cleft cyst. The prognosis of patients with papillary thyroid carcinoma in lateral neck cysts without a primary site identified appears to be good following excision of the cyst and total thyroidectomy. Other management recommendations regarding these unique lateral neck malignancies are also presented.

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Unusually rapid development of a lateral neck mass: Diagnosis and treatment of a branchial cleft cyst. A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2017.10.065 ◽

2017 ◽

Vol 41 ◽

pp. 383-386 ◽

Cited By ~ 1

Author(s):

Gabriele Bocchialini ◽

Anna Bozzola ◽

Francesco Daleffe ◽

Luca Ferrari ◽

Andrea Castellani

Keyword(s):

Case Report ◽

Rapid Development ◽

Neck Mass ◽

Diagnosis And Treatment ◽

Lateral Neck ◽

Branchial Cleft Cyst ◽

Branchial Cleft

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Malignant Shamblin III Carotid Body Tumors Resected with Use of the Retrocarotid Dissection Technique in 2 Patients

Texas Heart Institute Journal ◽

10.14503/thij-16-6142 ◽

2018 ◽

Vol 45 (2) ◽

pp. 92-95 ◽

Cited By ~ 2

Author(s):

Carlos A. Hinojosa ◽

Javier E. Anaya-Ayala ◽

Sandra Olivares-Cruz ◽

Hugo Laparra-Escareno ◽

Alicia Trolle-Silva ◽

...

Keyword(s):

Local Recurrence ◽

Surgical Resection ◽

Carotid Body ◽

Tumor Resection ◽

Carotid Bifurcation ◽

Malignant Potential ◽

Computed Tomographic ◽

Neck Masses ◽

Carotid Body Tumors ◽

Dissection Technique

Carotid body tumors are rare neoplasms with malignant potential in 6% to 12.5% of cases, and surgical resection is the only cure. We present the cases of 2 female patients who had expanding, painless, right-sided neck masses; computed tomographic angiograms revealed Shamblin III tumors at the carotid bifurcation. Each patient underwent tumor resection with use of the retrocarotid dissection technique. The tumor specimens were histologically consistent with malignancy, and free margins were achieved. The patients remained free of symptoms, local recurrence, and metastasis 44 and 19 months after their respective procedures. These are the first malignant Shamblin III carotid body tumors that we have resected by means of retrocarotid dissection. In addition to our patients' cases, we discuss carotid body tumors and compare the retrocarotid and standard caudocranial resection techniques.

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Gyulladás vagy daganat?

Orvosi Hetilap ◽

10.1556/650.2021.32087 ◽

2021 ◽

Vol 162 (15) ◽

pp. 595-600

Author(s):

Tamás Major ◽

Krisztina Szarka ◽

Zsófia Nagy ◽

Ilona Kovács ◽

Csaba Balog ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Differential Diagnosis ◽

Cell Carcinoma ◽

Squamous Cell ◽

Age At Onset ◽

Sudden Onset ◽

Lateral Neck ◽

Neck Masses ◽

Branchial Cleft ◽

Branchial Cleft Cysts

Összefoglaló. A lateralis cysticus nyaki terimék két leggyakoribb oka a branchiogen cysta és a cysticus nyaki áttét. Az átfedő lokalizáció (a leggyakrabban a IIA nyaki régióban), a betegek életkora és az esetenként hirtelen kezdet alapján a két leggyakoribb ok differenciáldiagnózisa nagy kihívást jelenthet. Egy hirtelen fellépő fájdalmas, bal oldali nyaki duzzanattal, dysphagiával és lázzal jelentkező 72 éves férfi esetét ismertetjük. A nyak komputertomográfiás vizsgálata egy 6 cm legnagyobb átmérőjű, vastag falú, többrekeszes cysticus terimét igazolt. Infektív branchiogen cysta lehetőségére gondolva az elváltozást eltávolítottuk. A szövettan azonban p16-pozitív laphámrákot igazolt. A primer tumort végül az ipsilateralis tonsilla palatina állományában sikerült azonosítani. A beteg definitív radioterápiában részesült, és 18 hónappal a diagnózis után tumormentes. A nyaki cystákon, az infektív nyaki cystákon és a cysticus metastasisokon kívül a humán papillómavírussal összefüggő szájgarati laphámrákok infektív cysticus vagy necroticus metastasisait is figyelembe kell venni a lateralis cysticus nyaki terimék differenciáldiagnózisában. Orv Hetil. 2020; 162(15): 595–600. Summary. Branchial cleft cysts and cystic neck metastases are the two most common causes of cystic lateral neck masses. Based on the overlapping location (neck level IIA), patient age at onset and the occasionally sudden onset, their differential diagnosis is challenging. We present a 72-year-old male presenting with a suddenly emerging painful, left-sided neck swelling, dysphagia and fever. Computed tomography showed a 6 cm thick-walled multicystic mass. With the suspected diagnosis of an infected branchial cleft cyst, the lesion was removed. Histology confirmed p16 positive squamous cell carcinoma. Primary tumor was identified in the ipsilateral palatine tonsil. Definive radiotherapy was performed and the patient is free of disease at the 18-month follow-up. Beyond pure and infected branchial cleft cysts and pure cystic metastases, infected cystic or necrotic metastasis of human papillomavirus associated oropharyngeal squamous cell carcinoma should be included in the differential diagnosis of cystic lateral neck lesions. Orv Hetil. 2021; 162(15): 595–600.

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Branchial Sinus with Cyst - Two Case Reports with Review of Literature

International Journal of Research and Review ◽

10.52403/ijrr.20211147 ◽

2021 ◽

Vol 8 (11) ◽

pp. 375-377

Author(s):

Ashoka Nand Thakur ◽

Priyambada .

Keyword(s):

Histopathological Examination ◽

Case Reports ◽

Branchial Arch ◽

Pharyngeal Arch ◽

Review Of Literature ◽

Complete Excision ◽

Branchial Cyst ◽

Branchial Sinus ◽

Branchial Cleft Anomalies ◽

Branchial Cleft

Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Remains of cervical sinus of His may persist as a branchial cyst. A branchial sinus is formed when 2nd branchial arch fails to meet the 5th pharyngeal arch. Peak age for presentation of branchial cysts is in the third decade and that of the congenital sinuses and fistulae is at birth. The association of a branchial cyst with branchial sinus is very rare. We are presenting two cases had branchial cyst along with branchial sinus. It was managed successfully with complete excision. Histopathological examination confirmed the association. Keywords: Branchial Sinus, Branchial cyst,

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