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da Silva EMS, Tonello G, Gris AH, Almeida BA, Rosa RB, Frigeri KDM, Panziera W, Driemeier D. Anatomopathological characterization of branchial cysts in slaughtered pigs. J Comp Pathol 2023; 207:10-13. [PMID: 37871534 DOI: 10.1016/j.jcpa.2023.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 08/07/2023] [Accepted: 09/23/2023] [Indexed: 10/25/2023]
Abstract
Branchial cysts are a congenital anomaly in humans and other animal species. In this study, twenty commercially bred slaughtered pigs ranging from 120 to 150 days of age, sourced from different farms and lots, were found to have cysts in the oropharyngeal region at meat inspection despite the absence of clinical signs. Two cysts were selected for histopathological examination. The first cyst was surrounded by fibrous connective tissue and lined by a simple single cell layer of epithelium. The second cyst comprised a squamous pseudostratified to simple stratified epithelium, accompanied by a mild inflammatory infiltrate. This cyst was also surrounded by fibrous connective tissue and glands. The pathological diagnosis of branchial cysts in slaughtered pigs was established on the basis of their anatomical location and gross and microscopic findings.
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Affiliation(s)
- Emanoelly M S da Silva
- Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9090, Porto Alegre, Rio Grande do Sul, Brazil.
| | - Graciela Tonello
- Bestsui Alimentos, Estrada Engenho Velho Constantina, Linha Trombetta, Engenho Velho, Rio Grande do Sul, Brazil
| | - Anderson H Gris
- Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9090, Porto Alegre, Rio Grande do Sul, Brazil
| | - Bruno A Almeida
- Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9090, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rafael B Rosa
- Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9090, Porto Alegre, Rio Grande do Sul, Brazil
| | - Karen D M Frigeri
- Universidade Tecnológica Federal do Paraná, Estrada Boa Esperança, Dois Irmãos, Paraná, Engenho Velho, Rio Grande do Sul, Brazil
| | - Welden Panziera
- Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9090, Porto Alegre, Rio Grande do Sul, Brazil
| | - David Driemeier
- Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9090, Porto Alegre, Rio Grande do Sul, Brazil
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Liao Y, Li YJ, Hu XW, Wen R, Wang P. Benign lymphoepithelial cyst of parotid gland without human immunodeficiency virus infection: A case report. World J Clin Cases 2023; 11:931-937. [PMID: 36818610 PMCID: PMC9928695 DOI: 10.12998/wjcc.v11.i4.931] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 12/13/2022] [Accepted: 01/10/2023] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Benign lymphoepithelial cyst (BLEC) of the parotid gland is a rare benign embryonic-dysplastic cystic tumor in the anterolateral neck that occurs most commonly in human immunodeficiency virus (HIV)-positive adults and rarely in non-acquired immune deficiency syndrome patients. The main presentation is a slow-growing, painless mass, and secondary infection may cause acute inflammatory symptoms.
CASE SUMMARY A 44-year-old Chinese male patient presented with a 1-year history of a mass in the left side of the neck. On physical examination, a mass similar in size and shape to a quail egg was found in the left parotid gland. The mass was tough, without tenderness, and easily moveable. The results of HIV tests, including antibody and nucleic acid tests and CD4+ T cell examination, were negative. Imaging examination revealed a left parotid gland mass. The patient underwent surgical treatment, and BLEC was diagnosed based on postoperative pathology. After 2 years of follow-up, the patient survived well without related discomfort.
CONCLUSION The detailed characteristics of a BLEC in a patient without HIV infection contribute to an improved understanding of this rare disease.
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Affiliation(s)
- Yan Liao
- Department of Nuclear Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
| | - Yan-Jie Li
- Department of Critical Care Medicine, The Second Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
| | - Xian-Wen Hu
- Department of Nuclear Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
| | - Rui Wen
- Department of Nuclear Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
| | - Pan Wang
- Department of Nuclear Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou Province, China
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Durgut O, Gökgün ÖF, Gencay S. Evaluation of Neutrophil-to-Lymphocyte Ratio, Platelet-to-Lymphocyte Ratio and Mean Platelet Volume in Patients with Branchial Cleft Cyst. Indian J Otolaryngol Head Neck Surg 2022; 74:5465-5468. [PMID: 36742740 PMCID: PMC9895673 DOI: 10.1007/s12070-021-02789-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 07/25/2021] [Indexed: 02/07/2023] Open
Abstract
Branchial cleft cysts are benign masses of the head and neck. Etiopathogenesis is unclear and many factors such as inflammatory mechanisms can play a role. The aim of our study is to investigate the predictive value of neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and mean platelet volume (MPV), which are hematologic inflammatory markers, in branchial cleft cyst (BCC). The records of 27 patients who were operated with the diagnosis of BCC in the ENT clinic between January 2011 and March 2020 and 27 healty subjects were retrospectively reviewed. The control group consisted age and sex-matched subjects scheduled for rhinoplasty. Neutrophil, lymphocyte, platelet and MPV values were recorded from the complete blood count samples for all participants. The statistical relationship for NLR, PLR and MPV values between the patient and the control groups was investigated. The NLR values of the patients were significantly lower than the healthy controls (p:0.007). But no statistically significant correlation was found for PLR (p:0.586) and MPV(p:0.676) values between the groups. This is the first study to evaluate the significance of NLR, PLR and MPV in branchial cleft cyst. Decreased NLR may be used as a predictive marker for BCC. But PLR ande MPV should not be used to predict branchial cleft cyst. Supplementary Information The online version contains supplementary material available at 10.1007/s12070-021-02789-1.
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Affiliation(s)
- Osman Durgut
- Department of Otorhinolaryngology, Bursa Yuksek Ihtisas Training and Research Hospital, Health Science University, Mimarsinan Mahallesi, Emniyet Cd. No:35, 16310 Yıldırım, Bursa Turkey
| | - Ömer Faruk Gökgün
- Department of Otorhinolaryngology, Bursa Yuksek Ihtisas Training and Research Hospital, Health Science University, Mimarsinan Mahallesi, Emniyet Cd. No:35, 16310 Yıldırım, Bursa Turkey
| | - Sündüz Gencay
- Department of Otorhinolaryngology, Bursa Yuksek Ihtisas Training and Research Hospital, Health Science University, Mimarsinan Mahallesi, Emniyet Cd. No:35, 16310 Yıldırım, Bursa Turkey
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Vazquez Salas S, Pedro K, Balram A, Syed S, Kotaka K, Kadivar A, Eke BO, McFarland M, Sung M, Behera N, Dubner BG, Maleki Z. Head and Neck Cystic Lesions: A Cytology Review of Common and Uncommon Entities. Acta Cytol 2022; 66:359-370. [PMID: 35717936 DOI: 10.1159/000525144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 05/05/2022] [Indexed: 12/27/2022]
Abstract
BACKGROUND Cystic lesions of the head and neck are a diagnostic challenge since they are seen in the clinical presentation of a wide variety of conditions. Herein, common and uncommon entities that present as cystic lesions in the head and neck are reviewed. SUMMARY In this study, peer-reviewed articles were selected using the database PubMed, Google, Google Scholar, and Scopus. Emphasis was placed on peer-reviewed articles that discuss the cytomorphology and differential diagnosis of entities that present as cystic lesions of the head and neck. In the anterior neck, both benign and malignant neoplasms can present, including papillary thyroid carcinoma (PTC), thyroid adenomatoid nodule, parathyroid cysts, and thyroglossal cysts. In the lateral neck, branchial cleft cyst, PTC, ectopic thyroid cyst, and squamous cell carcinomas (human papilloma virus and non- human papilloma virus-related) are common. Age over 40 years raises the possibility of malignancy. In the deep neck, mostly benign cystic entities occur such as a pleomorphic adenoma, paraganglioma, schwannoma, branchial cyst, epidermal inclusion cyst, and lymphoepithelial cyst. Lesions with squamous cell features can pose diagnostic dilemmas. CONCLUSION Cytologic examination of head and neck cysts can provide valuable information regarding the nature of the cystic lesions. Information about anatomic site and clinical history can assist with the differential diagnoses. Ancillary studies can improve the diagnosis in some cases. Each case should be evaluated very carefully since there are a wide variety of congenital conditions, infectious/inflammatory conditions, benign neoplasms, and primary and secondary malignancies presenting as a cystic mass in the head and neck.
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Affiliation(s)
- Sandra Vazquez Salas
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Katie Pedro
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Amrita Balram
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Sarah Syed
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Kent Kotaka
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Ana Kadivar
- Department of Public Health, University of Maryland, College Park, Maryland, USA
| | - Benjamin O Eke
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Madison McFarland
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Michelle Sung
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Niranjan Behera
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Benjamin G Dubner
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
| | - Zahra Maleki
- Department of Pathology, The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital, Baltimore, Maryland, USA
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A Retrospective Clinico-Pathological Analysis with Review of Literature of Oral and Cervical Lympho-Epithelial Cysts from a Pathological Perspective. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12052525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Oral and cervical lympho-epthelial cysts (LECs) are uncommon lesions with histopathological similarities. The aim of the study is to present clinico-pathological characteristics of oral and cervical LECs with a review of literature in order to create awareness on this uncommon entity. Eighteen new cases of oral and cervical LECs obtained from the archives of the University of Peradeniya and University of Geneva were used for the clinico-pathological analysis. The average age at diagnosis of 7 oral and 11 cervical LECs were 40 and 36 years, respectively. Both showed a female predilection (male:female ratio at 3:4 and 4:7, respectively). The only difference was found in the size of the lesions with oral LECs being significantly smaller than cervical LECs (0.9 cm vs. 4.6 cm). LECs may clinically resemble neoplasms (4/18), including malignancies (1/11 in the present series). None of the 18 LECs recurred following surgical removal. The literature-review-based analysis of 514 oral LECs confirms that the lesions are observed predominantly in adults in 4th–5th decades of life and are relatively small lesions of less than 2 cm in diameter. Oral LECs were found to occur predominantly in the tongue and floor of the mouth, similar to 88% of lesions in literature. In conclusion, oral and cervical LECs are two histologically similar cysts that occur in two distinct sites. The literature review supports the information observed in our study with respect to age of occurrence, site predilections, and size. Cervical LECs, particularly the ones that occur in the parotid region, may require further investigations to exclude BLEL of parotid gland, which occur in HIV infected patients.
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Najib Z, Berrada O, Lahjaouj M, Oukessou Y, Rouadi S, Abada RA, Roubal M, Mahtar M. Cervical lymphoepithelial cyst: Case report and literature review. Ann Med Surg (Lond) 2021; 61:185-187. [PMID: 33489106 PMCID: PMC7804335 DOI: 10.1016/j.amsu.2020.12.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 12/11/2020] [Accepted: 12/15/2020] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION The cervical lymphoepithelial or branchial cleft cyst are benign dysembryologic cystic tumors developing in the anterolateral region of the neck. They are relatively uncommon anomalies.The aims of this study are to analyze the anatomoclinical features and to discuss the modalities of care for the management of this disease. PRESENTATION OF CASE We report a case of a 70 years-old woman who was admitted to our department with a complaint of painless mass in the right supraclavicular region. Clinical examination and radiological investigations found a mass compatible with cervical cyst. Treatment consisted of the complete resection of the cyst. histopathological examination found a Cervical lymphoepithelial cyst. CONCLUSION The cervical lymphoepithelial can be easily misdiagnosed. It is imperative that clinicians make an accurate diagnosis for appropriate treatment (that is, surgical excision).
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Affiliation(s)
- Zouhair Najib
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Omar Berrada
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Meryem Lahjaouj
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Youssef Oukessou
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Sami Rouadi
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Reda Allah Abada
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Mohamed Roubal
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
| | - Mohamed Mahtar
- ENT and Head and Neck Surgery, Hospital August 20, 1953, Ibn Rochd Teaching Hospital, Casablanca, Morocco
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Pacheco-Ojeda L, Ayala-Ochoa A, Salvador K. Branchial Cysts in Quito, Ecuador. Int Arch Otorhinolaryngol 2020; 24:e347-e350. [PMID: 32754247 PMCID: PMC7394618 DOI: 10.1055/s-0039-1695023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 06/20/2019] [Indexed: 10/31/2022] Open
Abstract
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 2 nd (43 patients with cysts) and 3 rd (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 2 nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3 rd 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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Affiliation(s)
- Luis Pacheco-Ojeda
- Department of Surgery, Centro Médico Oncológico, Quito, Pichincha, Ecuador
| | - Andrés Ayala-Ochoa
- Department of Surgery, Hospital Vozandes Quito, Quito, Pichincha, Ecuador
| | - Karla Salvador
- Department of Otorhinolaryngology, Hospital de Ninos Baca Ortiz, Quito, Pichincha, Ecuador
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Liang HH, Chen CY, Chen WY, Chen TM, Chan WP. Solitary cystic metastatic lymph node of occult human papillomavirus-related oropharyngeal cancer mimicking second branchial cleft cyst: A case report. Medicine (Baltimore) 2019; 98:e17800. [PMID: 31689859 PMCID: PMC6946570 DOI: 10.1097/md.0000000000017800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
RATIONALE Human papillomavirus (HPV)-related oropharyngeal cancer is becoming more common, the primary cancer AQ4 usually occult and appearing only as cystic cervical lymph node (LN) metastasis. Distinguishing between a benign cystic lesion and cystic LN metastasis is challenging given their similar radiologic and histologic appearances. PATIENT CONCERNS A 54-year-old man presented with a bulging cystic mass measuring 6.4cm on the right side of neck. DIAGNOSES Postexcision diagnosis was second branchial cleft cyst. After 2 years, the cystic mass recurred, and HPV-related tonsillar squamous cell carcinoma with cystic metastatic LNs was confirmed after wide tonsillectomy and neck dissection. The previous cystic lesion proved to be a cystic metastatic LN from the same malignancy with additional p16 immunostain. INTERVENTIONS The patient was treated with adjuvant concurrent chemoradiation therapy. OUTCOMES The patient was followed up in the outpatient department with no evidence of recurrence after 1 year. LESSONS When an adult has a cystic mass in the upper neck, we must rigorously exclude it as a cystic metastatic LN of occult HPV-related oropharyngeal cancer. Additional p16 staining might be helpful.
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MESH Headings
- Branchioma/diagnosis
- Carcinoma, Squamous Cell/diagnosis
- Carcinoma, Squamous Cell/secondary
- Carcinoma, Squamous Cell/virology
- Diagnosis, Differential
- Humans
- Lymph Nodes/pathology
- Lymph Nodes/virology
- Lymphatic Metastasis/diagnosis
- Male
- Middle Aged
- Neck/pathology
- Neck/virology
- Neck Dissection
- Neoplasms, Cystic, Mucinous, and Serous/diagnosis
- Neoplasms, Cystic, Mucinous, and Serous/secondary
- Neoplasms, Cystic, Mucinous, and Serous/virology
- Neoplasms, Unknown Primary/diagnosis
- Neoplasms, Unknown Primary/pathology
- Neoplasms, Unknown Primary/virology
- Oropharyngeal Neoplasms/diagnosis
- Oropharyngeal Neoplasms/secondary
- Oropharyngeal Neoplasms/virology
- Papillomaviridae
- Papillomavirus Infections/complications
- Papillomavirus Infections/virology
- Tonsillar Neoplasms/diagnosis
- Tonsillar Neoplasms/pathology
- Tonsillar Neoplasms/virology
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Affiliation(s)
- Han-Hsuan Liang
- Department of Radiology, Wan Fang Hospital
- Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University
| | - Chia-Yuen Chen
- Department of Radiology, Wan Fang Hospital
- Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University
| | - Wei-Yu Chen
- Department of Pathology, Wan Fang Hospital
- Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei
| | - Tsung-Ming Chen
- Department of Otolaryngology, Shuang Ho Hospital, New Taipei City, Taiwan
| | - Wing P. Chan
- Department of Radiology, Wan Fang Hospital
- Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University
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Thong HK, Athar PPSH, Mustaffa WMW. Benign Lymphoepithelial Cyst: An Unusual Cause of Parotid Swelling in Two Immunocompetent Patients. Open Access Maced J Med Sci 2019; 7:2142-2145. [PMID: 31456841 PMCID: PMC6698116 DOI: 10.3889/oamjms.2019.577] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 06/25/2019] [Accepted: 06/26/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND: Lymphoepithelial cysts, which are benign and slow-growing tumours, usually involve the head and neck regions. Benign lymphoepithelial cysts (BLECs) are the most common cause of parotid swelling in human immunodeficiency virus (HIV)-positive patients and are less common in immunocompetent patients. CASE PRESENTATION: Here, we present two cases of immunocompetent patients with long-standing, progressively enlarging parotid swelling. Postoperative histopathological examination of these patients revealed features of BLEC. CONCLUSION: Wide surgical excision is the gold standard for treatment and recurrences is rare. These cases are of particular interest because of the rarity of BLEC in HIV-negative patients and highlight an important differential diagnosis of parotid swelling.
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Affiliation(s)
- How Kit Thong
- KPJ Healthcare University College, Nilai, Negeri Sembilan, Malaysia
| | - Primuharsa Putra Sabir Husin Athar
- KPJ Healthcare University College, Nilai, Negeri Sembilan, Malaysia.,Ear, Nose & Throat-Head & Neck Consultant Clinic, KPJ Seremban Specialist Hospital, Negeri Sembilan, Malaysia
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Ahmed ME, Ahmed MER, El Batawi AM, Abdelfattah HM, Jelassi N. Internal Hypopharyngeal Cyst: A Review of Literature. Dysphagia 2019; 34:487-498. [PMID: 30927081 DOI: 10.1007/s00455-019-10003-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Accepted: 03/23/2019] [Indexed: 02/06/2023]
Abstract
Detailed information on the hypopharyngeal cyst presentation, terminology, classification, diagnosis, management, and possible complication is scarce though it would lead to life-threatening symptoms. This review article, therefore, meticulously presents and analyzes the majority of the pertaining literature. In this context, a particular emphasis has been placed on the embryological development of the branchial arches while discussing each entity that would improve the current understanding of different pharyngeal cyst's pathologies.
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Affiliation(s)
| | - Mona El-Rabie Ahmed
- Department of Phoniatrics, Otorhinolaryngology-Head and Neck Surgery, Sohag University, Egypt-Sohag-Nasr City, Eastern Avenue, University Street, Sohag, 82524, Egypt.
| | | | | | - Noura Jelassi
- Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Tunisia University, Tunis, Tunisia
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Bocchialini G, Bozzola A, Daleffe F, Ferrari L, Castellani A. Unusually rapid development of a lateral neck mass: Diagnosis and treatment of a branchial cleft cyst. A case report. Int J Surg Case Rep 2017; 41:383-386. [PMID: 29545997 PMCID: PMC5697997 DOI: 10.1016/j.ijscr.2017.10.065] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Revised: 10/25/2017] [Accepted: 10/26/2017] [Indexed: 11/26/2022] Open
Abstract
Introduction Branchial cleft cysts are benign lesions caused by anomalous development of the branchial cleft. Cases that arise in the lateral neck region are often misdiagnosed, resulting initially in inappropriate management. Case presentation We describe a 32-year-old woman with a swelling on the right side of her neck and no pain during palpation or neck motion. Discussion The patient was evaluated using fine-needle aspiration cytology (FNAC), ultrasound, and magnetic resonance imaging (MRI) scans. The MRI showed a right-sided cervical mass with hyperintense content, well-defined margins, and no evidence of infiltration into surrounding structures, while FNAC found a yellow, pus-like fluid, keratinised anuclear cells, squamous epithelium, and a matrix of amorphous debris. Conclusion Based on the images and the patient's symptoms, a surgical intervention was performed.
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Affiliation(s)
| | - Anna Bozzola
- Department of Molecular and Translational Medicine, Section of Pathology, University Spedali Civili Di Brescia, Spedali Civili di Brescia, Unità Operativa di Anatomia Patologica, Brescia, Italy
| | | | - Luca Ferrari
- Maxillo-Facial Pediatric Surgery Unit, ASST Spedali Civili, Brescia, Italy
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Mhawej R, Richa T, Melkane AE. Benign lymphoepithelial cyst of unusual location: A case report. ACTA OTO-LARYNGOLOGICA CASE REPORTS 2016. [DOI: 10.1080/23772484.2016.1251820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Castellanos A, Scangas GA, Naunheim MR, Raol N, Cohen MS. Avoiding surgical pitfalls during resection of a "hybrid" first and second branchial cleft cyst - A case report. Int J Pediatr Otorhinolaryngol 2016; 87:91-3. [PMID: 27368450 DOI: 10.1016/j.ijporl.2016.06.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Angela Castellanos
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114-3096, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States
| | - George A Scangas
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114-3096, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States
| | - Matthew R Naunheim
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114-3096, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States
| | - Nikhila Raol
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114-3096, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States
| | - Michael S Cohen
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114-3096, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States.
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Abstract
Branchial cleft cyst, sinuses, and fistulae are among the most commonly encountered congenital anomalies in pediatric otolaryngic practice. They can present difficulty in diagnosis and surgical management. Here, I report a case of 14-year-old boy who presented with asymptomatic, congenital swelling located just below the jawline in the lateral part of the neck. The lesion was excised surgically. Histopathology showed the cyst lined by squamous as well as columnar ciliated epithelium, which was a characteristic finding of branchial cleft cyst. The aim of presenting this case is its rarity.
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Affiliation(s)
- Vaishali Nahata
- Department of Consultant Dermatologist, Skin Care and Laser Clinic, Nasik, Maharashtra, India
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Case report of a p16INK4A-positive branchial cleft cyst. The Journal of Laryngology & Otology 2015; 129:611-3. [PMID: 26004639 DOI: 10.1017/s0022215114003223] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To report the occurrence of a concurrent oropharyngeal papilloma and branchial cleft cyst linked by p16(INK4A) and human papillomavirus immunohistochemistry. CASE REPORT A 42-year-old woman presented with a 1-month history of a left lateral neck mass. Contrast enhanced computed tomography showed a hypodense lesion 20 mm in diameter anteromedial to the left sternocleidomastoid muscle. Ultrasound-guided fine needle aspiration suggested a branchial cleft cyst. Panendoscopy was performed at the time of neck mass removal, and a papillomatous lesion was removed from the left hypopharynx. Histopathological analysis showed the neck lesion to be a branchial cyst containing lymphoid tissue, and the oral lesion to be a squamous papilloma. Immunohistochemical analysis showed both the branchial cleft cyst and papilloma to be positive for p16(INK4A) expression and human papillomavirus DNA. CONCLUSION Histological and immunohistochemical analyses support the cystic transformation of lymph nodes, or the 'Inclusion Theory', as the aetiology of branchial apparatus anomalies, and raise the possibility that human papillomavirus infection may play a much larger role in disease of the head and neck than previously supposed.
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Fine needle aspiration cytology versus frozen section in branchial cleft cysts. The Journal of Laryngology & Otology 2015; 129:174-8. [PMID: 25684337 DOI: 10.1017/s0022215115000067] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Branchial cleft cysts occur because of a failure of involution of the second branchial cleft. However, as well-differentiated squamous cell carcinoma can mimic branchial cleft cysts, there is a lack of consensus on the appropriate management of cystic neck lumps. OBJECTIVE To report our experience of fine needle aspiration cytology and frozen section examination in the management of cystic neck lumps. METHOD Retrospective case note review of patients managed in the Southern General Hospital, Scotland, UK. RESULTS The sensitivity of fine needle aspiration cytology and frozen section for detecting branchial cleft cysts was 75 per cent and 100 per cent respectively. Two patients who did not undergo intra-operative frozen section examination were either over- or under-treated, which is discussed. CONCLUSION Adult patients subjected to surgical excision of a suspected branchial cyst should undergo intra-operative frozen section analysis regardless of clinical suspicion for malignancy. This part of management is critical to ensure patients are offered appropriate treatment.
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Nakano A, Mishima K, Katase N, Ueyama Y. A case of squamous cell carcinoma arising from branchial cleft cyst. J Oral Maxillofac Surg 2015; 73:781-5. [PMID: 25661503 DOI: 10.1016/j.joms.2014.10.036] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Revised: 10/23/2014] [Accepted: 10/29/2014] [Indexed: 10/24/2022]
Abstract
Squamous cell carcinoma throughout the epithelium of a lateral cervical cyst is considered extremely rare. This report describes an additional case of this very rare clinical condition. A 70-year-old man presented with a well-defined, immobile, painless mass in the left neck that was excised with a diagnosis of branchial cyst. Histologic findings of the excised specimen were lateral branchial cyst with high-grade dysplasia and carcinoma of the squamous epithelial lining. The patient was followed for more than 2 years 10 months and no evidence of recurrence or other cancer has been found.
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Affiliation(s)
- Asuka Nakano
- Senior Resident, Department of Oral and Maxillofacial Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan
| | - Katsuaki Mishima
- Associate Professor, Department of Oral and Maxillofacial Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
| | - Naoki Katase
- Assistant Professor, Department of Molecular and Developmental Biology, Kawasaki Medical School, Okayama, Japan
| | - Yoshiya Ueyama
- Professor and Chair, Department of Oral and Maxillofacial Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan
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Abstract
Dermoid cysts are malformations that are rarely seen in the oral cavity. An intraoral dermoid cyst grows slowly, but may enlarge and interfere with deglutition and speech, or can pose a critical risk to the airway and therefore require immediate surgical intervention. Dermoid cysts may develop above or below the mylohyoid muscle, causing a submental or submandibular swelling. Surgical excision is the treatment of choice and recurrence is rare. An intraoral approach for the treatment of large lesions presenting above the mylohyoid muscle provides good cosmetic and functional results. We report a case of a 26-year-old female who developed an epidermoid cyst presenting as a large sublingual swelling causing speech and swallowing difficulties. The lesion was surgically excised using an intraoral approach. Microscopic examination revealed a dermoid cyst of the epidermoid type. This case shows that dermoid cysts may be successfully diagnosed and managed using a series of simple yet effective clinical procedure.
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Affiliation(s)
- Mohan Baliga
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| | - Nandita Shenoy
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| | - Dharnappa Poojary
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| | - Ram Mohan
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| | - Ramdas Naik
- Department of Oral Medicine and Radiology, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
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Chavan S, Deshmukh R, Karande P, Ingale Y. Branchial cleft cyst: A case report and review of literature. J Oral Maxillofac Pathol 2014; 18:150. [PMID: 24959062 PMCID: PMC4065440 DOI: 10.4103/0973-029x.131950] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
First branchial cleft anomaly is a rare disease of the head and neck. Because of its rarity, first branchial cleft anomaly is often misdiagnosed and results in inappropriate management. In this article, we present a case of type II first branchial cleft anomaly. A middle-aged woman who had suffered from swelling on lower jaw visited our department with the chief complaint of a swelling. She underwent complete excision of the lesion with preservation of the facial nerve. The patient recovered well and had no recurrence at 1-year of follow up.
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Affiliation(s)
- Surekha Chavan
- Department of Oral Pathology, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India
| | - Revati Deshmukh
- Department of Oral Pathology, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India
| | | | - Yeshwant Ingale
- Dr. D. Y. Patil Dental College and Hospital, Pune, Maharashtra, India
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20
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Cysts. Oral Radiol 2014. [DOI: 10.1016/b978-0-323-09633-1.00021-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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21
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Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary: Navigating a Diagnostic Dilemma. Case Rep Otolaryngol 2013; 2013:405342. [PMID: 23956904 PMCID: PMC3728533 DOI: 10.1155/2013/405342] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2013] [Accepted: 06/26/2013] [Indexed: 12/02/2022] Open
Abstract
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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22
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Papillary thyroid carcinoma in a lateral neck cyst: primary of ectopic thyroid tissue versus cystic metastasis. The Journal of Laryngology & Otology 2013; 127:724-7. [DOI: 10.1017/s0022215113001205] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractObjective:To review the diagnosis of primary papillary carcinoma of ectopic thyroid tissue within branchial cleft cysts, and to discuss the diagnostic challenge of differentiating this condition from metastatic disease when an occult microcarcinoma is found in the thyroid gland.Methods:These comprise a case report and a literature review. We present the case of a 75-year-old woman with papillary thyroid carcinoma within the wall of a recurrent, 15 cm, lateral neck cyst.Results:Histological examination of the patient's thyroid gland found a 0.5 mm papillary thyroid microcarcinoma.Conclusion:Our differential diagnosis was primary papillary carcinoma arising from ectopic thyroid tissue, or metastatic cystic degeneration of a lateral lymph node. We make an argument for the former.
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23
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Bello IO, Qannam A, Sulaiman A. Recurrent unilateral submandibular swelling. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115:705-9. [PMID: 23706917 DOI: 10.1016/j.oooo.2012.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2011] [Revised: 12/12/2011] [Accepted: 01/18/2012] [Indexed: 10/28/2022]
Affiliation(s)
- Ibrahim O Bello
- Department of Oral Medicine and Diagnostic Oral Sciences, King Saud University, College of Dentistry, Riyadh, Saudi Arabia.
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24
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Giant benign neoplasm of lateral neck. J Craniofac Surg 2013; 24:652-4. [PMID: 23524768 DOI: 10.1097/scs.0b013e318266fd8a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Branchial cleft anomalies are the second most common congenital head and neck lesions to arise in the neck.Second branchial cleft cyst typically presents as a nontender, painless, smooth, and round neck mass located along the upper third of the anterior border of the sternocleidomastoid muscle which may acutely increase in size after an upper respiratory infection.The aim of this article was to illustrate a case of a giant second branchial cyst 8 cm in diameter that was surgically treated at the Department of Maxillo-Facial Surgery of Sant'Andrea Hospital in Rome.
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McNamara A, Wong M, Pruthi A, Gilbert ML, Blanas N, Enepekides D, Klieb HBE. A lateral neck mass. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:5-8. [PMID: 22732843 DOI: 10.1016/j.oooo.2011.09.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2011] [Revised: 09/07/2011] [Accepted: 09/29/2011] [Indexed: 11/18/2022]
Affiliation(s)
- Audrey McNamara
- Department of Dentistry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
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26
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Branchial cleft anomalies: accuracy of pre-operative diagnosis, clinical presentation and management. The Journal of Laryngology & Otology 2012; 126:598-604. [PMID: 22494467 DOI: 10.1017/s0022215112000473] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To examine the accuracy of the pre-operative diagnosis of branchial cleft anomalies, and also to describe their occurrence, clinical presentation and management. METHODS Retrospective review of the records of patients diagnosed with a branchial cleft anomaly between 1997 and 2006. RESULTS One hundred and twenty-six patients were included. Pre-operative diagnosis had a positive predictive value of 0.856 (95 per cent confidence interval, 0.771-0.918) and a sensitivity of 0.944 (95 per cent confidence interval, 0.869-0.979). These patients' demographic data, investigations, findings and management are presented, along with a possible strategy for dealing with solitary cystic masses in the neck. CONCLUSION As pre-operative diagnosis has a positive predictive value of 86 per cent, cystic lesions in the neck should be presumed to be carcinomatous until proven otherwise. Branchial fistulae and sinuses seem to be a disease of childhood, while branchial cysts occur mainly in adults. Branchial cleft anomalies are equally frequent in men and women, and equally distributed on the left and right side of the neck.
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27
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Panchbhai AS, Choudhary MS. Branchial cleft cyst at an unusual location: a rare case with a brief review. Dentomaxillofac Radiol 2011; 41:696-702. [PMID: 22116133 DOI: 10.1259/dmfr/59515421] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
A branchial cleft cyst (BCC) commonly presents as a solitary, painless mass in the neck of a child or young adult. They are most commonly located along the anterior border and the upper third of the sternocleidomastoid muscle in the anterior triangle of the neck. It is very rare for a BCC to manifest in other locations, especially in the posterior triangle of the neck. BCCs are believed to be derived from the branchial apparatus, mostly from the second branchial arch, although many theories have been proposed to explain the aetiology of BCCs. It is possible for BCCs to be easily misdiagnosed as other swellings of oral or paraoral origin owing to their location. Intraoral lymphoepithelial cysts have also been reported in the literature. It is imperative that clinicians make an accurate diagnosis so that appropriate treatment can be performed. If the cysts are excised properly, recurrence is rare. A rare case report of BCC arising in the neck from an unusual location with components in the posterior triangle is presented here.
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Affiliation(s)
- A S Panchbhai
- Oral Medicine and Radiology, SPD College, Savangi-M, India.
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28
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Dobros W, Burda K, Guzik K, Koziel J, Potempa J. Apoptotic cell clearance in chronic inflammation of lateral neck cysts. Eur Arch Otorhinolaryngol 2011; 269:965-70. [PMID: 21755330 PMCID: PMC3275742 DOI: 10.1007/s00405-011-1703-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2011] [Accepted: 06/29/2011] [Indexed: 11/26/2022]
Abstract
The mechanism driving accumulation of large numbers of apoptotic and necrotic neutrophils in inflamed lateral neck cysts (LNC), in the absence of infection, remains obscure. The cellular content of cysts obtained from 17 patients was co-cultured with human macrophages. Phagocytosis levels of cyst-derived neutrophils were determined and compared to the uptake of spontaneously apoptotic neutrophils. Simultaneously, the expression of cytokines in macrophages exposed to cyst contents was measured. In comparison to spontaneously apoptotic neutrophils, the phagocytosis of LNC-derived neutrophils by macrophages was inefficient. An inverse correlation between neutrophil content in LNC and their uptake was observed. Macrophages co-cultured with cyst contents responded with variable expression of IL-6, TNF-α and IL-10. The hindered clearance of apoptotic neutrophils in LNC may lead to secondary necrosis of these cells and stimulation of the inflammatory reaction. Together with local production of anti-inflammatory cytokines, this may fuel chronic inflammation in the cysts.
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Affiliation(s)
- Wieslaw Dobros
- Department of Otolaryngology, Regional Hospital, ul. Lwowska 178A, 33-100 Tarnow, Poland
| | - Karolina Burda
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
| | - Krzysztof Guzik
- Department of Immunology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
| | - Joanna Koziel
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
| | - Jan Potempa
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
- Oral Health and Systemic Research Facility, School of Dentistry, University of Louisville, Louisville, KY 40202 USA
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29
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A swelling of the floor of the mouth. ACTA ACUST UNITED AC 2010; 109:12-6. [PMID: 20123376 DOI: 10.1016/j.tripleo.2009.09.024] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2009] [Revised: 09/12/2009] [Accepted: 09/14/2009] [Indexed: 01/28/2023]
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30
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Nolen-Walston RD, Parente EJ, Madigan JE, David F, Knafo SE, Engiles JB. Branchial remnant cysts of mature and juvenile horses. Equine Vet J 2010; 41:918-23. [PMID: 20383992 DOI: 10.2746/042516409x452161] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
This clinical report describes 8 cases of branchial remnant cysts (BRC) in the horse. The horses presented with bimodal age distribution, with 5 cases in mature horses (age 8-21 years) and 3 in foals (age 1, 6 and 10 months). Mature cases presented for dysphagia or intermittent oesophageal obstruction (2/5), and retropharyngeal swelling (3/5), whereas respiratory stridor and visible mass were presenting complaints in the foals. Presence of a right-sided (5/8) or dorsally located (2/8) palpable retropharyngeal mass of 3-35 cm diameter was noted clinically; one left-sided mass was identified as an incidental finding at necropsy. Ultrasonography typically revealed a thick-walled cyst containing hypoechoic fluid with dependent hyperechoic masses consistent with blood clots. Radiographs and upper airway endoscopy were also consistent with a retropharyngeal mass. Fluid cytology revealed chronic haemorrhage in 6/8 cases, and squamous epithelial cells in one case. Histopathology in all cases demonstrated an epithelium-lined cyst with no smooth muscle or thyroid tissue. Two cases was subjected to euthanasia; one due to concurrent laryngeal anomalies and one due to financial constraints. The remaining 5 cases were treated via surgical excision. Post operatively, right laryngeal hemiplegia was observed in 4/5 cases. All previous reports of BRC in the horse have described juvenile individuals. Brachial remnant cyst should be considered a differential diagnosis for mature horses with masses of the throatlatch area and can be definitively diagnosed by the presence of squamous epithelium in aspirated fluid or by histopathology of the excised mass. Right recurrent laryngeal nerve damage is a common complication of surgery.
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Affiliation(s)
- R D Nolen-Walston
- New Bolton Center, University of Pennsylvania School of Veterinary Medicine, 382 West Street Rd, Kennett Square, Pennsylvania 19348, USA
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Beaufrère H, Castillo-Alcala F, Holmberg DL, Boston S, Smith DA, Michael Taylor W. Branchial Cysts in Two Amazon Parrots (Amazona species). J Avian Med Surg 2010; 24:46-57. [DOI: 10.1647/2008-062r.1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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[The cysts and fistulas of the neck in material of Otolaryngology Department of Rydygier District Hospital in Cracow]. Otolaryngol Pol 2010; 63:429-31. [PMID: 20169908 DOI: 10.1016/s0030-6657(09)70155-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The retrospective study describes 118 patients treated for congenital cysts and fistulas of the neck between 1997 and 2007 in ORL Department of Rydygier District Hospital in Cracow. Malformation was divided into midline and laterocervical region anomalies. Malformation of midline included thyreoglossal duct and dermoid cyst. The most common malformation of laterocervical were cysts followed by fistulas. The theory of development, method of diagnosis and operative management were presented. Complication and recurrences were rare. Proper differential diagnosis and radical operation led to successful cure.
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Internal jugular vein thrombosis secondary to a permanent cardiac pacemaker: an unusual case of lateral neck swelling. The Journal of Laryngology & Otology 2010; 124:916-8. [PMID: 20156372 DOI: 10.1017/s0022215110000046] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To describe an unusual case of lateral neck swelling in a patient with a permanent cardiac pacemaker. CASE REPORT We describe a patient who presented with a painful, lateral neck swelling due to an internal jugular vein thrombus. This thrombus originated from around pacemaker wires in the subclavian vein. This case is unusual, as the vast majority of thromboses in patients with cardiac pacemakers are found in the subclavian vein alone. We also review the literature on the relationship between cardiac pacemakers and internal jugular vein thrombosis, and on the management of the latter. CONCLUSION Our patient illustrates a rare cause of a painful, lateral neck swelling: an internal jugular vein thrombus secondary to a cardiac pacemaker. Clinicians should be wary of such pathology in similar patients, in order to ensure early treatment and avoidance of complications.
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Pingarrón Martin L, Arias Gallo J, González Martín-Moro J, Palacios Weiss E, Burgueño García M. Rhytidectomy approach for surgical treatment of branchial cyst. Oral Maxillofac Surg 2009; 14:1-2. [PMID: 19949826 DOI: 10.1007/s10006-009-0189-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Surgical treatment of benign diseases of the neck produces a cervicotomy scar. A modified rhytidectomy incision has been used since 2003 in our department in selected cases of parotid gland tumours. However, there is no mention in bibliography about using facelift approach for treatment of cervical diseases. We have operated on three patients with brachial cysts using this technique. We introduce a clinical case of a 28-year-old woman with a right cervical swelling at the level of the anterior side of the sternocleidomastoid muscle. This technique allows a wide surgical approach. There is no donor-site morbidity, minimum additional operating time, hidden scar and no extra cost, and patients are very satisfied with the results.
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35
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Chen WL, Fang SL. Removal of second branchial cleft cysts using a retroauricular approach. Head Neck 2009; 31:695-8. [PMID: 19189334 DOI: 10.1002/hed.20980] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Second branchial cleft cysts (also called cervical lymphoepithelial cysts) usually present in adulthood, and cosmesis of surgical access is an important issue. This study was performed to assess the feasibility and outcome of a retroauricular approach for removing second branchial cleft cysts. METHODS Eight patients underwent removal of second branchial cleft cysts using a retroauricular approach. RESULTS All 8 second branchial cleft cysts were removed successfully, and the wounds healed uneventfully. None of the patients suffered from weakness of the great auricular nerve. Marginal nerve palsy did not occur postsurgery. Average follow-up period was 14.5 months (range, 6-20 months) with no tumor recurrence. The incision scars were invisible. CONCLUSION Second branchial cleft cyst resection using a retroauricular approach is a feasible method that provides an acceptable cosmetic outcome.
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Affiliation(s)
- Wei-Liang Chen
- Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
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Papadogeorgakis N, Petsinis V, Parara E, Papaspyrou K, Goutzanis L, Alexandridis C. Branchial cleft cysts in adults. Diagnostic procedures and treatment in a series of 18 cases. Oral Maxillofac Surg 2009; 13:79-85. [PMID: 19308468 DOI: 10.1007/s10006-009-0156-6] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
PURPOSE Branchial cleft anomalies may be presented as branchial cysts, fistulas, or sinuses. Purpose of this paper is to present the diagnostic procedures and the treatment in a series of branchial cleft cysts. METHODS Eighteen patients with branchial cleft cysts were surgically treated. All of them were subjected in laboratory examinations with ultrasonography, CT or/and MRI, and fine needle aspiration cytology (FNAC). Complete excision was the treatment in all cases. RESULTS Eight patients had Type I, seven Type II, two Type III, and one a Type IV cyst. In all cases the surgical removal was successful and after 1 to 7 years post-surgical follow-up, no recurrences have been developed. CONCLUSIONS Branchial cleft cyst diagnostic procedure must be the same as for other neck swellings. FNAC is very useful for the diagnosis and the surgical approach must ensure safe and complete cyst removal in order to avoid intraoperative complications and recurrences.
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Cystic schwannoma of the cervical plexus masquerading as a type II second branchial cleft cyst. Eur Arch Otorhinolaryngol 2008; 266:459-62. [PMID: 18418621 DOI: 10.1007/s00405-008-0678-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2008] [Accepted: 04/03/2008] [Indexed: 10/22/2022]
Abstract
This case illustrates the rare occurrence of a cystic schwannoma of the neck, presenting clinically and ultrasonographically as a type II second branchial cleft cyst. Histology demonstrated that it was in fact a rare cystic schwannoma, most likely arising from the cervical plexus. This is the first documented case of a cystic schwannoma of the neck being mistaken for a type II second branchial cleft cyst based on clinical and ultrasound findings alone. It suggests that more sophisticated radiological investigations, such as magnetic resonance imaging, may enable accurate diagnosis of a cystic schwannoma of the neck pre-operatively.
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Affiliation(s)
- Louis Mandel
- Department of Oral and Maxillofacial Surgery, Columbia University School of Dental and Oral Surgery, New York-Presbyterian Hospital (Columbia Campus), 630 W. 168th Street, New York, NY 10032, USA
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