Papillary thyroid carcinoma metastasis to a branchial cleft cyst: a case report and review of imaging

Cooc, Andy; Chong, Insun; Wang, Kevin Yuqi; Jiang, Kevin; Lincolns, Christie M.

doi:10.1016/j.clinimag.2020.02.003

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…Malignancy should be suspected in cases of rapid increase in the size of head and neck masses, masses with diameter greater than 1 cm, enlargement of cervical lymph nodes, vocal cord paralysis with hoarseness of voice, family history of cancer or a history of significant childhood exposure to radiation [ 12 ]. Nevertheless, overall survival can reach as high as 90% at the 10-year mark with early initiation of treatment [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Papillary Thyroid Carcinoma Concealed Within a Branchial Cyst Without Primary Thyroid Involvement: Unveiling the Enigma

Khawaja,

Arshad,

Shafiq

et al. 2024

Cureus

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Branchial cleft cysts are congenital anomalies that form during fetal development and originate from the second branchial cleft. They typically manifest as painless masses on the side of the neck and can become symptomatic when infected. These cysts can create a cavity that may foster infection and, in rare instances, facilitate the spread of primary tumors. It is unusual to find ectopic thyroid tissue within a brachial cyst and it is even rarer to see papillary thyroid carcinoma developing from this tissue. Whenever physicians find a case of lateral neck cyst containing thyroid neoplasm without a known primary in the thyroid, there is always a confusion about whether it is a case of metastatic disease with an undetected primary tumor, or is a carcinoma originating from ectopic thyroid tissue. This is a case report of a papillary thyroid cancer that was unintentionally discovered inside a branchial cyst. So far, only five cases akin to this have been documented. There was no sign of an underlying primary thyroid tumor after the patient had a complete thyroidectomy and selected neck dissection, according to a comprehensive evaluation. This article touches on the development of thyroid tissue within branchial cysts and discusses the etiology of lateral neck tumors. The outcome for such patients appears to be favorable after cyst excision and total thyroidectomy. This article also emphasizes the importance of doing routine histopathological examinations on surgically removed samples that look benign.

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Section: Discussionmentioning

confidence: 99%

Papillary Thyroid Carcinoma Concealed Within a Branchial Cyst Without Primary Thyroid Involvement: Unveiling the Enigma

Khawaja,

Arshad,

Shafiq

et al. 2024

Cureus

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“…MRI is preferred for Type I first branchial cleft cyst and for second branchial cleft lesion in parapharyngeal. Ultrasonography can be used in places where CT or MRI is not available, however it does not adequately evaluate the extent and depth of neck lesions 2,6,11 .…”

Section: Table 1 Search Strategymentioning

confidence: 99%

Giant Branchial Cleft Cyst of the Neck

Laksono,

Indrasari,

Herdini

et al. 2023

Advances in Health Sciences Research

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Background: Branchial cleft cyst is a benign lesion of the neck caused by altered development of branchial apparatus. It is one of the most common congenital lesions of the neck, usually diagnosed before adulthood. The cyst can increase in size and cause asymmetry of the neck. Purpose: To provide information regarding management of giant branchial cleft cyst. Case Report: We reported a female patient, 35 year old with mass on the right neck, MSCT scan showed iso-hypodense lesion which extends to right supraclavicular region and deviates the trachea and surrounding tissue to the left. Patient was diagnosed with right branchial cleft cyst and surgical excision was done to remove the cyst. The large cyst has adhered to adjacent structure and some strap muscles has to be sacrificed during the procedure. Method: Literature search using the keyword 'Branchial Cyst' AND 'Neck Cyst' AND 'Large' AND 'Surgery' was done on PubMed, ScienceDirect, and Google Scholar. Result: The search obtained 9 articles published in the last 5 years. Based on inclusion and exclusion criteria, 3 studies related to the topic was selected. Conclusion: Surgical excision with approach of transverse wide cervical incision remains the treatment of choice for branchial cleft cyst. Careful identification and separation of the cyst and critical neck structures in the surrounding is important. Aspiration of the cyst during the procedure can be done to reduce the volume of the cyst when necessary. Endoscopic approach can be done if the cyst is small in size. Incision and drainage, sclerosing therapy and repeated aspiration of the cyst should be avoided to reduce recurrency and disrupt the surgical planes for later surgery.

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Patho-Anatomic Spectrum of Branchial Cleft Anomalies: Proposal of Novel Classification System

Pupić-Bakrač

Skitarelić

Novaković

et al. 2022

Journal of Oral and Maxillofacial Surgery

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Papillary thyroid carcinoma metastasis to a branchial cleft cyst: a case report and review of imaging

Cited by 7 publications

References 13 publications

Papillary Thyroid Carcinoma Concealed Within a Branchial Cyst Without Primary Thyroid Involvement: Unveiling the Enigma

Papillary Thyroid Carcinoma Concealed Within a Branchial Cyst Without Primary Thyroid Involvement: Unveiling the Enigma

Giant Branchial Cleft Cyst of the Neck

Patho-Anatomic Spectrum of Branchial Cleft Anomalies: Proposal of Novel Classification System

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