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

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.

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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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Cervical thymic cyst in adult: a rare entity

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192735 ◽

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>

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Type III Second Branchial Cleft Cyst

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1107 ◽

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.

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Sclerotherapy of Branchial Cleft Cysts Using OK-432

Otolaryngology ◽

10.1016/j.otohns.2009.05.022 ◽

2009 ◽

Vol 141 (3) ◽

pp. 329-334 ◽

Cited By ~ 19

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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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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Branchial Cysts in Quito, Ecuador

International Archives of Otorhinolaryngology ◽

10.1055/s-0039-1695023 ◽

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.

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