Subcutaneous bronchogenic cyst

Midline neck lumps are commonly recognized in clinical practice. Nonetheless, we present an unusual case of a 24-year-old Bangladeshi man who has a slowly growing midline neck lump. The characteristic lump did not move on swallowing and was more pronounced on coughing suggesting an external laryngocoele as a main differential. The patient underwent urgent surgical excision of the lump. Further histopathology findings were consistent with the diagnosis of a bronchogenic cyst which is deemed rare with such presentation.

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“…These cysts are found predominately in men (M:F ratio 4:1) with a prevalence of 1 in 42 000 to 1 in 68 000 [1, 2]. …”

Section: Discussionmentioning

confidence: 99%

Bronchogenic cyst—a rare case mimicking a laryngocoele

Farid

Michael

2017

Journal of Surgical Case Reports

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“…The most reliable criterion for the diagnosis of bronchogenic cyst is the presence of cartilage plates in the wall of the cyst, with submucosal glands and smooth muscles. [1][2][3] The present case series from this 5-year retrospective review in our institution identified 33 biopsy-proven operated cases of bronchogenic cysts and has demonstrated the rarity of such lesions in the neck. None of the children in our case series had lesions in the neck.…”

Section: Discussionmentioning

confidence: 99%

“…5 In adults the differential diagnosis are abscesses, enlarged lymph nodes (predominantly if it has central necrotic), pulmonary lesions, branchial cleft cyst, thyroglossal cleft cyst, vascular anomalies, laryngocoele, schwannoma, and neck metastases. As mentioned by Gaikwad et al, 3 a subcutaneous suprasternal bronchogenic cyst of the neck may be added to the list of transilluminant cervical subcutaneous swellings. This can differentiate it from nontransilluminant cystic neck lesions like branchial cleft cysts, thyroglossal cysts, epidermal inclusion cysts, thymic cysts, thyroid cysts, and teratomas.…”

Section: Discussionmentioning

confidence: 99%

Bronchogenic Cyst as a Rare Differential in an Adult Cervical Cystic Swelling

George¹,

Gaikwad²

2015

International Journal of Head and Neck Surgery

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Introduction: Bronchogenic cysts are rare congenital malformations of the ventral foregut development usually located in the mediastinum and intrapulmonary regions. Cervical bronchogenic cysts are unusual and have been reported predominantly in the pediatric age population, rarely in adults. Materials and methods:We retrieved and analyzed medical records of all patients who were diagnosed to have bronchogenic cysts within the past 5 years who presented to the surgical departments of pediatric surgery, cardiothoracic, general surgery, ENT, and head and neck surgery. Data:Thirty-three patients with bronchogenic cysts were identified, five of whom were children and only presented with a cyst in the neck. The details of the patient with cervical bronchogenic cyst are presented and discussed.Conclusion: Bronchogenic cysts of the neck are rare differential diagnosis of neck masses in adults. The magnetic resonance imaging was found to be specific for diagnosis and preoperative assessment. Complete surgical excision is the treatment of choice, along with the prevention of future complications and establishment of diagnosis.

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“…Rarely, they may present as a fistulous opening or an abscess and hoarseness (6,9). The differential diagnosis of bronchogenic cysts may include; cutaneous ciliated cyst, epidermal inclusion cyst, thyroglossal duct cyst, trichilemmal cyst, branchial cyst and dermoid cyst (1,10,11).…”

Section: Discussionmentioning

confidence: 99%