scholarly journals Second Branchial Cleft Cyst: A Case Report

2021 ◽  
Vol 8 (2) ◽  
pp. 140-142
Author(s):  
Mahir Tayfur ◽  
Mecdi Gurhan Balcı

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.

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Essa Tawfeeq

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.


2020 ◽  
Vol 24 (1) ◽  
pp. 68-78
Author(s):  
Gazi Salahuddin ◽  
Md Tarikul Islam ◽  
Md Mahmudul Huq ◽  
Sutanu Kumar Mondal ◽  
Md Abdus Sobhan ◽  
...  

Background: Accurate diagnosis is important for planning of management of the congenital cystic neck mass. Clinical history, physical examination and appropriate knowledge of embryology and anatomy of the cervical region frequently allow the differential diagnosis to be narrowed and ultrasound especially high frequency ultrasound help to further confirmation. USG has been used as the initial imaging procedure in the evaluation of them. Ultrasound not only confirms the cystic nature of the lesion but also evaluates exact location, size, extent, relation to the surrounding structures and internal characteristic of mass. Objectives: To establish the usefulness of ultrasound in the evaluation of congenital cystic neck masses. Methods: From January 2014 to March 2018 a total 50 patients with clinically suspected congenital cystic mass in the neck region were selected who under want operative treatment and histopathological examination. A through history taking and physical examination were done then patient were scanned with gray scale ultrasound and colour Doppler in necessary case. Histopathological report collected from the patient and compare with USG diagnosis. Results: In USG 37 patient diagnosed as congenital lesions and 13 patient diagnosed as non-congenital lesion. Among the congenital lesions thyroglossal duct cyst-19, branchial cleft cyst-12, cystic hygroma-4, hemangioma-1 and epidermoid cyst-1. In histopathology 32 patient diagnosed as congenital lesion and 18 diagnosed as non-congenital lesion. Among the congenital lesions thyroglossal duct cyst-18, branchial cleft cyst-8, cystic hygroma-4, hemangioma-1 and epidermoid cyst-1. Among the 19 USG diagnosed thyroglossal duct cyst 17 is confirmed by histopathology and 2 is differ. Among the 12 USG diagnosed branchial cleft cyst 7 is confirmed by histopathology and 5 is differ. Over all sensitivity of USG-93.7% and specificity-64% and accuracy-74%. Conclusion: USG is a useful modality for the diagnosis of congenital cystic mass in the cervical region. Bangladesh J Otorhinolaryngol; April 2018; 24(1): 68-78


2007 ◽  
Vol 2 (4) ◽  
pp. 222-224 ◽  
Author(s):  
T.S. Anand ◽  
Shashidhar Tatavarty ◽  
Swatilika Pal ◽  
Ekta Chhabra ◽  
Saumitra Kumar

2017 ◽  
Vol 10 (2) ◽  
pp. 123
Author(s):  
Hyun Gi Gim ◽  
Mee Sook Roh ◽  
Jong Chul Hong ◽  
Heon Soo Park

1977 ◽  
Vol 86 (6) ◽  
pp. 849-851 ◽  
Author(s):  
Harmon E. Schwartz ◽  
Thomas C. Calcaterra

Instances of first branchial cleft anomalies are quite uncommon. A patient with a first branchial cleft cyst was seen and surgically treated at UCLA Hospital in 1972. Three years later he developed a similar lesion on the opposite side of his neck and this also was surgically excised. A review of the literature has revealed only one prior report of bilateral first branchial cleft anomalies. The embryogenesis, diagnosis, and surgical management of these lesions are discussed in this paper.


Head & Neck ◽  
2021 ◽  
Vol 43 (4) ◽  
Author(s):  
Monica H. Xing ◽  
Neil Mundi ◽  
Aparna Govindan ◽  
Azita Khorsandi ◽  
Mark L. Urken

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