A Case of Unusual Type of Branchial Cleft Cyst Presenting as Superficial Midline Neck Mass.
10.3342/kjorl-hns.2017.00402
- Author:
Hun Hee BAEK
1
;
Sung Hwan LIM
;
Mi Ji LEE
;
Seung Woo KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center, Seoul, Korea. entzzang1020@daum.net
- Publication Type:Case Report
- Keywords:
Branchial cleft cyst;
Inflammation;
Midline;
Neck
- MeSH:
Biopsy;
Branchial Region*;
Branchioma*;
Epithelium;
Female;
Humans;
Inflammation;
Lymph Nodes;
Middle Aged;
Neck*;
Pathology
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2017;60(12):678-680
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The most widely accepted hypothesis about the origin of branchial cleft cysts (BCC) is developmental theory. The second most accepted is acquired inflammatory theory. A 57-year-old woman visited our department, presenting with a soft and well-margined round superficial mass in the lower midline neck. We performed an excisional biopsy to confirm the disease. The mass was located superficial to the sternohyoid without severe adhesion and abnormal communication. The pathology was proven to be BCC. We presumed that this is irrelevant to the established developmental theory, and a recurrent pharyngeal inflammation might lead to the transformation of aberrant epithelium into a cervical lymph node. We report rare and unusual type of BCC with a literature review. To the best of our knowledge, there have been two similar clinical cases that have been reported earlier.
