Choristoma: Cervical Chondrocutaneous Branchial Remnants.

Matthew T Carvey,Devan Ramachandran,Robert Hage

doi:10.7759/cureus.3149

Abstract

Unilateral cervical chondrocutaneous branchial remnants (CCBRs) are rare, but when present, are typically located over the lateral aspect of the neck along the anterior margin of the sternocleidomastoid muscle. A CCBR in this location is called a choristoma. Here, we describe a choristoma in a 25-year-old female who disclosed a documented diagnosis of Meniere’s disease, and an expressed interest in bearing children within the immediate future. She presented with a unilateral swelling, located subcutaneously, midway over the anterior margin of the right sternocleidomastoid muscle. Due to her history, and the risk of possible radiological exposure to her fetus, an ultrasound-based examination of the neck and cardio-abdomino-pelvic organs was performed. Our clinical findings, details of the ultrasound results, and surgical data will be described.

Highlights

Received 06/25/2018 Review began 06/30/2018 Review ended 08/10/2018 Published 08/15/2018Cervical chondrocutaneous branchial remnants (CCBRs), being present both unilaterally or bilaterally, are rare lesions of embryonic origin
She presented with a unilateral swelling, located subcutaneously, midway over the anterior margin of the right sternocleidomastoid muscle
A choristoma may appear to be of normal tissue type; it will be foreign to the location found on the specific organ in question [4]

Summary

Introduction

Received 06/25/2018 Review began 06/30/2018 Review ended 08/10/2018 Published 08/15/2018. The choristomas can be of different types such as heterotopic presence of thyroid gland, bone, glial tissue, and salivary gland [1] Surgical excisions of these lesions are effective; How to cite this article Carvey M T, Ramachandran D, Hage R (August 15, 2018) Choristoma: Cervical Chondrocutaneous Branchial Remnants. A 25-year-old woman temporarily living in Grenada visited a local otolaryngologist presenting with a past history of Meniere’s disease without treatment (based on a lack of active symptoms such as tinnitus, vertigo, and hearing loss) On presentation, she expressed that the motivation behind the visit was to investigate the significance of her neck swelling. The patient did not request surgical excision, as she was asymptomatic with the lesion for the duration of her lifetime She was told, and reassured, that the ultrasound examination showed a benign cartilaginous mass. This diagnosis allowed the patient to feel some comfort after what she assumed could have affected the health of her baby

Discussion

Conclusions

Disclosures