Congenital peristernal dermal sinus: A case report and published work review

Nakamura, Yoshiyuki; Takamuki, Risa; Fujisawa, Yasuhiro; Okiyama, Naoko; Watanabe, Rei; Ishitsuka, Yosuke; Maruyama, Hiroshi; Ishii, Yoshiyuki; Fujimoto, Manabu

doi:10.1111/1346-8138.14299

Cited by 6 publications

(7 citation statements)

References 5 publications

(5 reference statements)

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“…[3] Since then, a few of cases were reported in literatures. [4][5][6][7][8][9][10][11][12] In our study, we collected 88 patients in two years. It was more common than the second branchial anomaly and pyriform sinus in our hospital.…”

Section: Discussionmentioning

confidence: 99%

The Congenital Sternoclavicular Sinus: a Single-institution Retrospective Study of 88 Patients

Yang

2020

Preprint

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Background Sinus near the sternoclavicular joint was considered as a rare congenital neck abnormality. Though it was reported as a dermoid sinus in some literatures, the embryological origin of the sinus was unclear. This study aimed at reviewing the clinical and histological characteristics and analyzing the possible embryological origin of this malformation in children.Methods The medical records of all patients with congenital sternoclavicular sinus who underwent surgical resection between March 2018 through June 2020 were reviewed retrospectively. The clinical presentations, complications, histological examination, and treatment were analyzed.Results Of the 88 patients with congenital sternoclavicular sinus included, the mean age of surgery was 2.73 ± 1.71 years old. The sinuses occurred on the left side in 73 (83.0%) cases. Sixty-three patients experienced sinus infection and 44 patients underwent incision and drainage before excision. All patients received surgical resection with one patient recurred after surgery. Histopathological examination showed that the sinuses were lined by squamous epithelium in most patients. However, ciliated epithelium was observed in one patient and salivary gland was detected in two patients.Conclusions The congenital sternoclavicular sinus should be excised promptly to prevent recurrent infection. According to the ciliated epithelium and salivary gland were found in the wall of sinus, it should be viewed as the skin side remnant of the fourth branchial cleft rather than a dermoid cyst/sinus.

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Section: Discussionmentioning

confidence: 99%

The Congenital Sternoclavicular Sinus: a Single-institution Retrospective Study of 88 Patients

Yang

2020

Preprint

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“…1 Because of the specific nature of a blind-ending sinus at the level of the pectoralis major muscle in all our described cases, we propose the term "congenital dermoid sinus of the anterior chest region" over CDF. [7][8][9] In some papers, descriptions of the sinus were similar to those of CDACR, but differed in terms of location, the direction of the sinus, and pathology. 6,10,11 Upon reviewing the literature, we found one Japanese article and seven English-language articles that met diagnostic criteria for CDACR.…”

Section: Discussionmentioning

confidence: 99%

“…6,10,11 Upon reviewing the literature, we found one Japanese article and seven English-language articles that met diagnostic criteria for CDACR. [1][2][3][4][5][7][8][9] All but one of these was reported in Japan. 7 These published cases are summarized in Table 2.…”

Section: Discussionmentioning

confidence: 99%

“…Simple probing will reveal the direction and depth of the tract. 8 Ultrasound can also provide support for the diagnosis 5,[7][8][9][10]12 ; and only a few case reports described imaging with computed tomography (CT), 2 magnetic resonance imaging (MRI), 4,5 or fistulogram. 6 Ultrasonography allows for visualization of the subcutaneous tract with low echogenicity extending toward the sternoclavicular joint, without a visible connection to the joint or pectoralis major muscle, thus facilitating diagnosis and surgical planning.…”

Section: Discussionmentioning

confidence: 99%

“…6 Ultrasonography allows for visualization of the subcutaneous tract with low echogenicity extending toward the sternoclavicular joint, without a visible connection to the joint or pectoralis major muscle, thus facilitating diagnosis and surgical planning. 5,[7][8][9][10] Histopathology shows a tubular structure containing keratin, lined by keratinizing stratified squamous epithelium of ectodermal origin, with the presence of adnexal structures of endodermal origin. Some cases describe a surrounding infiltrate of neutrophils, foreign-body giant cells, 2,4 histiocytes, lymphocytes, or plasma cells.…”

Section: Discussionmentioning

confidence: 99%

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Congenital dermoid sinus of the anterior chest region

Shin

Park

et al. 2020

Pediatric Dermatology

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Congenital dermoid sinus of the anterior chest region (CDACR) is a congenital sinus that has a small skin orifice at the level of the sternoclavicular joint and a tract extending caudally into the subcutaneous tissue, ending blindly. 1,2 Since CDACR is an uncommon congenital malformation, it is sometimes incised and drained after misdiagnosis as an inflamed cyst. However, the clinical features and pathology are characteristic. 2,3 Congenital dermoid sinus of the anterior chest region has also been termed congenital dermoid fistula of the anterior chest region, 1-5 congenital cutaneous fistulas at the sternoclavicular joint, 6 congenital sternoclavicular dermoid sinuses, 7 and congenital peristernal dermal sinuses. 8,9 In most Japanese articles, lesions were

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Cutaneous Ultrasonography in Pediatric Dermatology

Bandera

2022

Textbook of Dermatologic Ultrasound

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Congenital peristernal dermal sinus: A case report and published work review

Cited by 6 publications

References 5 publications

The Congenital Sternoclavicular Sinus: a Single-institution Retrospective Study of 88 Patients

The Congenital Sternoclavicular Sinus: a Single-institution Retrospective Study of 88 Patients

Congenital dermoid sinus of the anterior chest region

Cutaneous Ultrasonography in Pediatric Dermatology

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