Metastatic cystic squamous cell carcinoma in the neck mistaken as primary branchial cleft carcinoma: a report of 4 cases.
- Author:
Cai-ping HUANG
1
;
Hong-shi WANG
;
Yun-yi KONG
;
Jian WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Branchioma; diagnosis; Carcinoma, Squamous Cell; diagnosis; secondary; Diagnostic Errors; Epiglottis; Female; Head and Neck Neoplasms; diagnosis; secondary; Humans; Laryngeal Neoplasms; pathology; Male; Middle Aged; Retrospective Studies; Tonsillar Neoplasms; pathology
- From: Chinese Journal of Oncology 2004;26(10):634-637
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo raise the vigilance not to believe easily the diagnosis of a primary branchial cleft carcinoma.
METHODSFour cases of cystic metastatic squamous cell carcinoma in the neck misdiagnosed as branchiogenic carcinoma from 1993 to 2002 in our hospital were analyzed retrospectively.
RESULTSThe primary sites of these 4 cases were later discovered, 2 in the aryepiglottic fold, 1 in faucial tonsil and 1 in the skin of the head, respectively. The discovery of the primary sites ranged from the day of initial surgery to 41 months.
CONCLUSIONNone of the cases reviewed in this study was a branchiogenic carcinoma. Therefore, the diagnosis of a primary branchial cleft carcinoma requires the fulfillment of strict criteria both clinically and pathologically.