Original article | Volume 26, Article 102, 28 Feb 2017 | 10.11604/pamj.2017.26.102.11895

Branchial cleft cyst: a case report

Moncef Sellami, Abdelmonem Ghorbel

Corresponding author: Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba, University Hospital, Sfax, Tunisia

Received: 05 Feb 2017 - Accepted: 15 Feb 2017 - Published: 28 Feb 2017

Domain: Maxillofacial surgery,Otolaryngology (ENT)

Keywords: Branchial cleft cyst, neck, surgery

©Moncef Sellami et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Moncef Sellami et al. Branchial cleft cyst: a case report. Pan African Medical Journal. 2017;26:102. [doi: 10.11604/pamj.2017.26.102.11895]

Available online at: https://www.panafrican-med-journal.com/content/article/26/102/full

Home | Volume 26 | Article number 102

Original article

Branchial cleft cyst: a case report

Branchial cleft cyst: a case report

Moncef Sellami1,2,&, Abdelmonem Ghorbel1,2

 

1Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba, University Hospital, Sfax, Tunisia, 2Sfax Medical School, University of Sfax, Sfax, Tunisia

 

 

&Corresponding author
Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba, University Hospital, Sfax, Tunisia

 

 

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Brachial cleft cysts are rare congenital malformations of the lateral neck and typically present in the second and third decades of life. Many theories have been proposed to explain the aetiology of these cysts including incomplete obliteration of branchial mucosa, persistence of vestiges of the precervical sinus and cystic lymph node origin. Preoperative imaging investigations show a fluid-filled cyst and evaluate anatomic relationships. Differential diagnosis includes metastatic squamous cell carcinoma, lymphadenitis, lymphoma, cervical dermoid cyst, cystic hygroma and parotid pathology. Surgical excision is the treatment of choice and results in a good prognosis. We present the case of a 37-year-old woman referred to our department for assessment of a neck swelling that had gradually increased in size during the previous nine months. The clinical examination found a 6 cm non-tender mass of the upper-left neck. The MRI revealed a cystic lesion measuring 4󬊆 cm, displacing the sternocleidomastoid muscle posterolaterally, and the carotid and internal jugular vein medially. The mass was completely resected through a lateral cervicotomy. The histological examination revealed a cystic wall lined with stratified squamous epithelium consistent with the diagnosis of a branchial cleft cyst. The postoperative course was uneventful. Long-term follow-up has shown no evidence of recurrence.

 

Figure 1: A) clinical image showing a mass of the upper-left neck; B) axial T1-weighted MRI shows a well-defined hypointense mass that was confined to the left aspect of the neck (arrow); C) the mass (arrow) was hyper-intense on T2-weighted sequences (Axial T2-weighted MRI); D) peroperative view; E) the excised mass was an encapsulated cystic structure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Branchial cleft cyst: a case report

Original article

Branchial cleft cyst: a case report

Original article

Branchial cleft cyst: a case report

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Branchial cleft cyst

Neck

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