Cysts of the Second Branchial Cleft: Case Report and Surgical Notes

A second branchial cleft cyst, a case report

“…A branchial sinus or fistula is more common in neonatal period or young age while cyst is rare [ 5 ]. Second branchial cleft anomalies are the most common branching anomalies of the apparatus, accounting for about 95 % of cases [ 6 ]. First described by Bailey in 1929, the second BCC is a remnant arising from incomplete degeneration of the second branchial arch, as it develops over a long period of time and occurs clinically and progressively later, making diagnosis difficult [ 7 ].…”

Clinical Workup of Nodular and Mass Lesions of the Endocrine Organs

“…Some authors suggested that FNA is valuable in patients who have a nondiagnostic Tc 99 -sestamibi scan, with multiple enlarged parathyroid glands, prior failed surgery, differentiating parathyroid adenomas from posterior thyroid nodules, atypical location, and nonfunctioning parathyroid incidentalomas (Abraham, Duick et al 2008;Vu and Erickson 2010). Cellular FNA specimens with features not typical for thyroid lesions should be triaged for PTH assay in the FNA rinse, which is useful to differentiate parathyroid lesions from thyroid lesions (Owens, Rekhtman et al 2008;Ciuni, Ciuni et al 2010;Lieu 2010). This technique is also used during operation (Lamont, McCarty et al 2005).…”

“…The ultrasound images demonstrate a cystic lesion. FNA aspirates clear liquid, which should be sent to chemistry laboratory to test PTH level (Absher, Truong et al 2002;Ciuni, Ciuni et al 2010;Lieu 2010). The first treatment is the aspiration FNA, which can be curative, but recurrences can be treated surgically (Ciuni, Ciuni et al 2010).…”

“…FNA aspirates clear liquid, which should be sent to chemistry laboratory to test PTH level (Absher, Truong et al 2002;Ciuni, Ciuni et al 2010;Lieu 2010). The first treatment is the aspiration FNA, which can be curative, but recurrences can be treated surgically (Ciuni, Ciuni et al 2010). FNA of parathyroid adenomas may cause severe fibrosis complicating surgery and final histologic diagnosis (Norman, Politz et al 2007), which could be avoided by using fine bore needles (25 -27 gauge) and fewer passes (1 to 2 passes) (Abraham, Duick et al 2008).…”