Differentiation of Branchial Cleft Cysts and Malignant Cystic Adenopathy of Pharyngeal Origin

Goyal, Neerav; Zacharia, Thomas; Goldenberg, David

doi:10.2214/ajr.11.8120

Cited by 38 publications

(38 citation statements)

References 19 publications

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“…BCCC arises from the remnants of the branchial clefts or pharyngeal pouches. As the cyst is usually lined with stratified squamous epithelium, malignant transformation in the epithelium is feasible; this is known as BCCC and is considered extremely rare (3,8). 2.…”

Section: Discussionmentioning

confidence: 99%

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Branchial Cleft Cyst Carcinoma: A Case Report

et al. 2016

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Branchial cleft cyst carcinoma (BCCC) is an extremely rare malignancy originating from cells within the branchial cleft cyst wall. A 73-year-old man presented with a cystic mass with cellulitis mimicking abscess initially and recurred 3 years later as complex cystic lesion in right neck level II with multiple necrotic ipsilateral lymphadenopathy. The pathological diagnosis of cystic lesion was squamous cell carcinoma, suggesting possibility of originating from branchial cleft cyst. There was no identifiable primary cancer elsewhere by a thorough evaluation; eventually final diagnosis was branchial cleft cyst carcinoma to meet the modified criteria of Khafif et al. Up to the present time, there has been no evidence of recurrence. Although the BCCC is very rare, accurate diagnosis is important to plan proper treatment for patient. This report should help increase awareness of BCCC, which should be included in the differential diagnosis of a cystic neck mass.

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Section: Discussionmentioning

confidence: 99%

“…In patients older than 40 years presenting with a neck lump, the mass is neoplastic in roughly 80% of all non-thyroid neck masses, and of these neoplastic lesions, approximately 80% are malignant (3). This report should help radiologic differential diagnosis of a cystic neck mass.…”

Section: Introductionmentioning

confidence: 86%

Branchial Cleft Cyst Carcinoma: A Case Report

et al. 2016

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“…The diagnosis between these two entities is challenging, both for the clinician and the radiologist. In the adult population, cystic neck masses should be considered primarily as metastatic nodes until the benignity is proven [23,24].…”

Section: Figmentioning

confidence: 99%

The ultrasonographic diagnosis of cystic cervical lesions: a pictorial essay

et al. 2016

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The importance of ultrasonographic (US) examination in the evaluation of the superficial structures of the head and neck region is increasing due to the widespread availability of modern equipment (such as high-frequency transducers) and modern techniques. In the case of a cervical lesion, ultrasound is usually the first imaging method used to assess the changes. First of all, US is capable of differentiating between cystic and solid structures, and based on the US appearance correlated with the the age of the patient, location and growing pattern, the appropriate diagnosis is possible with a high accuracy. The aim of the present paper is to describe the US features of the most common cystic lesions encountered in the head and neck region.

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“…Może ono ujawnić torbielowatą naturę guza, obecność ewentualnych przegród w jego świetle oraz zobrazować jego unaczynienie. Niestety żadna z tych cech nie przemawia jednoznacznie za łagodnym lub złośliwym charakterem zmiany [11]. Badanie USG jest często połączone z wykonaniem biopsji cienkoigłowej.…”

Section: Omówienieunclassified

“…Na podstawie obrazów tomograficznych stwierdzili oni, że torbiele o charakterze łagodnym mają większe rozmiary, równe brzegi, rzadko zawierają wewnętrzne przegrody oraz rzadko powodują widoczny w TK odczyn zapalny sąsiednich tkanek. Autorzy zwracają jednak uwagę, że obraz tomograficzny nie może być rozstrzygającym kryterium w różnicowaniu pomiędzy złośliwym a łagodnym charakterem omawianych zmian [11].…”

Section: Omówienieunclassified

Torbiel boczna szyi czy przerzut raka płaskonabłonkowego

Litwiniuk¹,

Nyckowska²,

Bruzgielewicz³

et al. 2014

Polski Przegląd Otorynolaryngologiczny

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WstępTorbiel boczna szyi jest łagodnym guzem występującym na bocznej powierzchni szyi. Mechanizm powstawania tego typu torbieli pozostaje nie do końca wyjaśniony. Przez wiele lat powszechnie obowiązywała teoria, według której zmiana ta wywodzi się z pozostałości nieprawidłowo zamkniętej w trakcie rozwoju embrionalnego drugiej kieszonki skrzelowej. Hipoteza ta nie tłumaczy jednak pochodzenia nietypowo położonych torbieli. Dlatego też w ostatnich latach coraz większą popularność zdobywa teoria, według której torbiel boczna szyi powstaje w wyniku torbielowatego zwyrodnienia węzłów chłonnych [1]. Torbiel boczna szyi jest najczęstszym guzem występującym w tej okolicy u dzieci oraz młodych dorosłych. U osób po 40. roku życia rozpoznanie torbieli p o l s k i p r z e g l Ą d o t o r y n o l a r y n g o l o g i c z n y 3 ( 2 0 1 4 ) 1 5 2 -1 5 5 i n f o r m a c j e o a r t y k u l e Historia artykułu: Słowa kluczowe: torbiel boczna szyi rak płaskonabłonkowy przerzuty regionalne pierścień Waldeyera Keywords: Branchial cleft cyst Squamous cell carcinoma Regional lymph nodes metastases Waldeyer's ring a b s t r a c tCystic cervical mass is a difficult diagnostic challenge. Branchial cleft cysts are considered to be the most common cause of the cystic neck lesions. However, squamous cell carcinoma (SCC) of the upper aerodigestive tract may send regional lymph node metastases that can also manifest clinically as a cystic tumor. This possibility should especially be considered in adult patients. Therefore, a more attentive pre-and postoperative diagnostics is necessary in patients over 40 years of age, presenting with a cystic cervical mass. In this article we present two cases of cystic neck masses in patients over 40 years old, that have been initially considered to be branchial cleft cysts and turned out to be malignant lesions in a course of diagnostics.

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Differentiation of Branchial Cleft Cysts and Malignant Cystic Adenopathy of Pharyngeal Origin

Cited by 38 publications

References 19 publications

Branchial Cleft Cyst Carcinoma: A Case Report

Branchial Cleft Cyst Carcinoma: A Case Report

The ultrasonographic diagnosis of cystic cervical lesions: a pictorial essay

Torbiel boczna szyi czy przerzut raka płaskonabłonkowego

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