Cervical chondrocutaneous branchial remnants: a case report
10.3760/cma.j.cn114453-20241030-00276
- VernacularTitle:颈部鳃源性皮肤软骨遗迹1例
- Author:
Yubing NIE
1
;
Ye ZHANG
;
Xiaonan YANG
;
Haidong LI
Author Information
1. 中国医学科学院北京协和医学院整形外科医院血管瘤与脉管畸形科，北京 100144
- Publication Type:Journal Article
- Keywords:
Congenital abnormalities;
Cervical chondrocutaneous branchial remnants;
Embryology;
Surgical treatment
- From:
Chinese Journal of Plastic Surgery
2025;41(10):1072-1075
- CountryChina
- Language:Chinese
-
Abstract:
Cervical chondrocutaneous branchial remnants (CCBRs) are a rare congenital benign abnormality resulting from branchial arch dysplasia, characterized primarily by the presence of ectopic exophytic cartilaginous tissue in the neck present at birth. In July 2024, a case of CCBRs was treated at Plastic Surgery Hospital, Chinese Academy of Medical Sciences, involving a 7-year-and-10-month-old female patient. At birth, a bean-sized, rod-shaped, firm mass was noted on the left side of her neck, which progressively grew to the size of a corn kernel, measuring approximately 1.0 cm×1.2 cm. No significant local tenderness, redness, swelling, or ulceration was observed. Comprehensive examinations revealed no associated comorbidities. The patient underwent surgical excision of the neck mass. Postoperative pathological examination with hematoxylin-eosin (HE) staining revealed elastic cartilage in the central region of the lesion. The neck incision healed primarily, and no subsequent reappearance of the lesion was observed during the four-month follow-up. This article summarized the diagnostic and therapeutic process of this patient with CCBRs, and through a comprehensive literature review, highlighted that CCBRs represent one of the superficial markers of branchial arch dysplasia, with surgical excision being the primary treatment. Given that branchial arch abnormalities may be associated with structural or functional anomalies in other organs, a thorough systemic evaluation is recommended prior to surgery. Notwithstanding the absence of concomitant malformations detected on initial evaluation, continuous long-term follow-up monitoring is recommended to mitigate the risk of potential diagnoses being overlooked.
