Quiz Case 1

Abstract

A 12-YEAR-OLD WHITE GIRL presented with a midline cervical lesion present since birth. A fibrous cord that limited extension of her neck was associated with the lesion. The patient noted occasional mucoid discharge from the inferior aspect of the lesion (Figure 1 and Figure 2). Her medical history was unremarkable, and she had never received any prior medical or surgical intervention for the lesion. On physical examination, a small skin tag was noted at the superior aspect at the level of the hyoid bone. An excoriated, dry tract extended inferiorly and terminated in a small fistulous tract with scant mucoid drainage. The lesion was not affected by swallowing or tongue protrusion.

Congenital Midline Cervical Cleft and W-Plasty: Our Experience

“…The classic histopathology findings included the following: (1) a skin tag: stratified squamous epithelium with occasionally striated muscles or cartilage; (2) a main lesion: stratified squamous epithelium with surface parakeratosis and absence of dermal adnexal structures, with mild inflammatory infiltrate of lymphocytes, plasma cells, and neutrophils possibly present; and (3) a sinus tract: squamous or pseudostratified columnar epithelium. A respiratory epithelium, thyroglossal dust cyst, or its remnants were reported in some cases [27].…”