scholarly journals Branchial Cyst: An Unusual Presentation as Intrathoracic Extension and Hoarseness of Voice

2011 ◽  
Vol 2 (1) ◽  
pp. 69-71
Author(s):  
HP Singh ◽  
Sunil Kumar ◽  
Ambrish Kumar ◽  
SP Agarwal

ABSTRACT Branchial cleft cysts usually present as a unilateral, fluctuant soft tissue swelling that is localized deep to the anterior border of sternocleidomastoid in the lateral aspect of the neck. They are often noticed late in childhood or early adulthood. It is important that clinical diagnosis and, in some cases, appropriate imaging is performed, so that definitive treatment may be carried out. The authors present an unusual case of a 35-year-old man who presented with hoarseness of voice associated with a lateral neck mass that extended retrosternally.

Author(s):  
Arif Yuksel ◽  
Serhan Uslu ◽  
Bulent Vatansever ◽  
Züleyha Can Erdi ◽  
İsmail Demir

Carotid body tumors (CBTs) or chemodectomas are non-chromaffin paragangliomas. Carotid body tumors appear as painless, slowly expanding masses located in the upper part of the neck under the chin. On physical examination, it presents as a soft, non-tender mass in the lateral aspect of the neck that can move more freely in a horizontal plane than vertically, referred to as a positive Fontaine sign. The differential diagnosis of a lateral neck mass, rarely seen in adults, includes lymphadenopathy, branchial cleft cysts, salivary gland tumors, neurogenic tumors, and carotid artery aneurysms. A 62-year-old female patient presented with only neck swelling. CBTs are rarely detected in the etiology in cases of lymphadenomegaly. We wanted to present the case to the literature.


2017 ◽  
Vol 41 ◽  
pp. 383-386 ◽  
Author(s):  
Gabriele Bocchialini ◽  
Anna Bozzola ◽  
Francesco Daleffe ◽  
Luca Ferrari ◽  
Andrea Castellani

2021 ◽  
Vol 162 (15) ◽  
pp. 595-600
Author(s):  
Tamás Major ◽  
Krisztina Szarka ◽  
Zsófia Nagy ◽  
Ilona Kovács ◽  
Csaba Balog ◽  
...  

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.


2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Tae-Kyung Yoo ◽  
Soo-Hong Kim ◽  
Hyun-Young Kim ◽  
Kwi-Won Park

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.


2018 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Gokhan Tazegul ◽  
Hümeyra Bozoğlan ◽  
Özlem Doğan ◽  
Ramazan Sari ◽  
HasanAli Altunbaş ◽  
...  

2020 ◽  
pp. 014556132095648
Author(s):  
Jackson King ◽  
Brian Mitchell

Branchial cleft anomalies are embryonic remnants of the branchial arches and are described as the second most common congenital neck mass. Depending on their extent, these anomalies are classified as a cyst, sinus, or fistula with branchial cysts being the most common. Branchial cysts deriving from the second branchial arch are by far the most common, accounting for approximately 95% of all cases. Complete second branch arch fistulas with both an internal and external opening are a rare variant of this anomaly, and even less have been well-documented on computed tomography (CT) imaging in the literature. We present here a case of a 20-year-old female with CT findings consistent with a complete second branchial arch fistula extending from the tonsillar fossa to the external lateral neck.


2021 ◽  
Vol 14 (10) ◽  
pp. e244187
Author(s):  
Zachary J Cromar ◽  
Viraj N Shah ◽  
Brandon Kamrava ◽  
Kenneth R Nissim ◽  
Jaylou M Velez-Torres

Cervical thymic cysts (CTCs) represent 1% of all cervical cystic masses. A review of the literature found that CTCs are typically asymptomatic, with a propensity to be left sided. CTCs often require histological evaluation for diagnosis. A 27-year-old male patient presented to an outpatient otolaryngology clinic with worsening bilateral jaw and neck pain and an incidental right-sided neck mass found on cervical MRI. Preoperative differential diagnosis included venolymphatic malformation versus branchial cleft cyst. Histological examination of the excised specimen provided diagnosis of a CTC. Postoperatively, the patient reported improvement in cervical pain. CTCs are a rare cause of lateral neck mass in young adults. Typical presentation included neck enlargement with no symptoms or in some cases compressive symptoms. It is important to consider CTCs when formulating a differential for a lateral neck mass.


Author(s):  
Rohaizam Bin Japar Jaafar ◽  
Glen Johannes Franciscus Kemps ◽  
Ing Bing Tan ◽  
Alida Annechien Postma

<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>


Author(s):  
Mada Lakshmi Narayana ◽  
Vivek Viswambharan ◽  
B. N. Kumarguru

<p class="abstract">A branchial cleft cyst is a congenital abnormality typically located over the lateral aspect of neck. A 3 year old boy presented with a gradually progressive painless swelling below his chin since 1 year. CT scan demonstrated well defined cystic lesion in submental region. Excision was done and histopathology showed the cyst lined by stratified squamous epithelium and at places lined by pseudo stratified ciliated columnar epithelium with subepithelial lymphocytes suggesting branchial cyst. Branchial cleft cysts should also be considered as one of the differential diagnoses in cystic midline lesions of the neck, if it’s not moving with deglutition and with tongue protrusion.</p>


2012 ◽  
Vol 4 (1) ◽  
pp. 26-28
Author(s):  
PV Pradeep ◽  
Rekha Matta

ABSTRACT Cystic lesions in the neck are common. It is customary to classify them as those arising in the midline and those in the lateral neck. Dermoid cysts are present along the lines of embryonic fusion and hence said to be occurring due to an embryonic accident during the development. Most common locations in the neck are the lateral end of eyebrows and the floor of the mouth in the midline. We present a rare case of dermoid presenting as a mass in the lateral aspect of neck. Our case is unique since even though it was a dermoid cyst, the presentation of the mass was in the upper lateral neck which is very uncommon. A 28-year-old lady presented with a swelling at the junction of the upper one-third and lower two-third of the left sternocleidomastoid muscle. Intraoperatively, the cyst had extension from the lateral aspect of neck along the carotid sheath to the superior mediastinum. Dermoid cysts do present occasionally as lateral neck mass and must be kept in the differential diagnosis. Even though characteristic radiological and histopathological features make the diagnosis of dermoid cyst simple yet it may be difficult to diagnose, if present at unusual locations. How to cite this article Pradeep PV, Matta R. An Unusual Dermoid Cyst of the Neck presenting as Mass in the Lateral Neck. World J Endocr Surg 2012;4(1):26-28.


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