Branchial Cleft Cyst Presenting Research Articles

Synchronous Presentation of Right Parotid Branchial Cleft Cyst and Left Neck HPV-Associated Cystic Metastatic Squamous Cell Carcinoma: A Diagnostic Quandary.

Branchial cleft cyst arising within the parotid space is considered an extremely rare phenomenon. In contrast, cystic squamous cell carcinoma in the lateral neck is not an uncommon presentation of HPV-related head and neck cancer. Although they have singly been narrated in literature, simultaneous expression of these anomalies has yet to be reported. We describe a case of synchronous presentation of branchial cleft cyst of the right parotid gland and cystic metastatic squamous cell carcinoma of the left neck. These findings are discussed in light of the challenges in fine needle aspiration biopsy of cystic masses, and the risk of two distinct pathologic entities presenting as cysts in the head and neck.

Type II First Branchial Cleft Cyst Presenting as Parotid Mass: A Case Report

Branchial cleft cysts are frequent causes of congenital neck masses-second only to thyroglossal duct cysts. Often asymptomatic, these masses can be missed until adulthood. The branchial apparatus is comprised of 3 parts: Arch, cleft, and pouch; these parts develop into the soft tissue, cartilaginous, and bony structures the mandible and neck. Incomplete obliteration is thought to result in branchial anomalies.

Unusual location of a second branchial cleft cyst presenting in the suprasternal notch

Second branchial cleft cysts (SBCCs) are congenital benign tumors that comprise up to 90% of all branchial cleft anomalies. SBCCs typically present in the lateral neck along the anterior border of the upper third of the sternocleidomastoid muscle. We describe a case of a SBCC presenting in an unusual location in the lower neck close to midline. An 18-year-old male presented with a 2-year history of a neck mass in the suprasternal notch. Imaging findings were reviewed with a head and neck radiologist who felt that the findings were highly suggestive of a fourth branchial cleft cyst. The patient underwent surgical excision of the mass. Final pathologic evaluation confirmed the diagnosis of a second branchial cleft cyst. Though extremely uncommon, second branchial cleft cysts can extend to the suprasternal notch and should not be excluded from the differential diagnoses of lower neck masses.

A Second Branchial Cleft Cyst Presenting as a Dumbbell -Shaped Anterior Neck Mass

A Second Branchial Cleft Cyst Presenting as a Dumbbell -Shaped Anterior Neck Mass

Duplicated facial nerve trunk with a first branchial cleft cyst

First branchial cleft anomalies are rare and their various anatomical relationships to the facial nerve have been described. We encountered a 15-year-old female with a type II first branchial cleft cyst presenting as a right neck mass that we found during surgical excision to transverse two main facial nerve trunks. To our knowledge, this is the first reported case of a first branchial cleft anomaly in conjunction with a duplicated facial nerve trunk.

Large Inflamed Branchial Cleft Cyst Presenting as a Diagnostic Challenge

Large Inflamed Branchial Cleft Cyst Presenting as a Diagnostic Challenge

Branchial cleft cyst presenting as metastatic squamous carcinoma in fine needle aspirates: report of three cases

Bas ve boynun metastatik skuamoz karsinomunun bir alt kumesi boyunda kistik kitlelerle ortaya cikmaktadir. Siklikla yassi epitel hucreli karsinomun bu kistik metastazlarini brankiyal yarik kist gibi iyi huylu kistik boyun lezyonlarindan ayirt etmek cok zor olabilmektedir. Iyi huylu kistik lezyonlarin ic yuzeyini kaplayan yassi epitel hucreler onemli hucre atipisi gosterebilerek yassi epitel hucreli karsinomdan kaygilanilmasina neden olurlar. Kisitli sayida numune alinan ince igne biyopsilerini degerlendirirken boynun iyi ve kotu huylu kistik skuamoz lezyonlari arasinda ayrim yapmak daha cok zorlasmaktadir. Burada brankiyal yarik kistleri olan uc hasta sunulmaktadir. Hepsine baslangicta metastatik yassi epitel hucreli karsinom tanisi konmustu. Gereksiz radikal boyun diseksiyonu gibi cerrahi prosedurlerin uygulanmasina yol acabilen metastatik yassi epitel hucreli karsinom eksizyonu ihtimalinden kacinmak icin deneyimli bir sitolog tarafindan ince igne aspirasyon sitolojisinin yorumlanmasinin onemi vurgulanmaktadir.

Type 2 First Branchial Cleft Cyst Presenting as Childhood Deafness

Type 2 First Branchial Cleft Cyst Presenting as Childhood Deafness

Third branchial cleft anomaly presenting as a retropharyngeal abscess

Branchial cleft anomalies are congenital developmental defects that typically present as a soft fluctuant mass or fistulous tract along the anterior border of the sternocleidomastoid muscle. However, branchial anomalies can manifest atypically, presenting diagnostic and therapeutic challenges. Error or delay in diagnosis can lead to complications, recurrences, and even life-threatening emergencies. We describe a case of an infected branchial cleft cyst that progressed to a retropharyngeal abscess in a 5-week-old female patient. The clinical, radiographic, and histologic findings of this rare presentation of branchial cleft cyst are discussed.