ABSTRACT
Resumen La adenopatía dermatopática es una entidad histopatológica que consiste en un aumento del tamaño ganglionar en respuesta a enfermedades cutáneas crónicas. En el análisis histopatológico se observa una hiperplasia paracortical con presencia de células dendríticas, células de Langerhans e histiocitos. La presentación clínica más habitual es la aparición de adenopatías de características benignas con o sin prurito en pacientes con antecedentes de enfermedad cutánea. La aparición de masas laterocervicales es un motivo de consulta frecuente en otorrinolaringología. Presentamos el caso de un paciente exfumador de 41 años que consultó por aparición brusca de una masa cervical quística, sugestiva de quiste braquial o de una adenopatía quística. Una vez descartada malignidad, se procedió a realizar exéresis de la lesión mediante cervicotomía para diagnóstico patológico. El estudio de la muestra confirmó el diagnóstico de adenopatía dermatopática en un paciente sin antecedente de enfermedad cutánea previa.
Abstract Dermatopathic lymphadenopathy is a histopathologic entity which consists on reactive lymphadenopathy in the setting of chronic cutaneous diseases. The histologic examination is characterized by paracortical hyperplasia with presence of dendritic cells, Langerhans cells and histiocytes. The most common clinical presentation is the presence of lymphadenopathy with benign characteristics with or without pruritus in patients with prior history of cutaneous disease. The appearance of laterocervical masses is a frequent reason for consultation in otorhinolaryngology. We present the case of a 41-year-old ex-smoker who consulted due to the sudden appearance of a cystic cervical mass, suggestive of a brachial cyst or cystic adenopathy. Once malignancy had been ruled out, excision of the lesion within cervicotomy was performed in order to reach a pathological diagnosis. The histologic study confirmed the diagnosis of dermatopathic adenopathy in a patient with no history of previous skin disease.
Subject(s)
Humans , Male , Adult , Branchioma/diagnosis , Lymphadenopathy/diagnosis , Head and Neck Neoplasms/diagnosis , Skin Diseases/complications , Diagnosis, Differential , Lymphadenopathy/pathologyABSTRACT
La malformaciones de arcos branquiales constituyen la segunda causa de masa congénita de cabeza y cuello en niños. La presentación clínica depende del arco afectado, siendo las más frecuentes las de segundo arco branquial. Se presenta un caso clínico de un escolar de 7 años que consulta por disfagia lógica, evidenciándose una gran masa orofaríngea posterior a pilar faríngeo posterior izquierdo. El estudio de imágenes con tomografía computarizada (TC) y resonancia magnética (RM) de cuello mostró una lesión quística en relación al pilar faríngeo posterior izquierdo. Se realizó resección transoral de la lesión conservando su pared lateral. El estudio anatomopatológico resultó sugerente de quiste de segundo arco branquial. Se discute la presentación clínica, diagnóstico y alternativas de tratamiento de las anomalías de segundo arco branquial.
Branquial cleft malformations are the second cause of congenital mass of the head and neck in children. The clinical presentation depends on the cleft involved; second branchial cleft anomalies are the most common. There is a case of a 7 years old boy with a history of logic dysphagia, fisical examination shows a large oropharyngeal mass located behind the left posterior pillar of the pharynx. The imaging study with computed tomography (CT) and magnetic resonance imaging (MRI) of the neck showed a cystic lesion in relation to the left posterior pillar of the pharynx. Transoral resection of the lesion was performed keeping its lateral wall. Pathologic examination was suggestive of second branchial cyst. Clinical presentation, diagnosis and treatment options of the second branchial cleft anomalies are discussed.
Subject(s)
Humans , Male , Child , Branchioma/diagnosis , Branchioma/pathology , Head and Neck Neoplasms/diagnosis , Head and Neck Neoplasms/pathology , Magnetic Resonance Imaging , Tomography, X-Ray ComputedABSTRACT
Introduction: Le kyste amygdaloide est une tumeur kystique latero-cervicale haute rare; issue de la 2eme fente branchiale. Il represente 2 des tumeurs latero-cervicales du cou; et 6;1a 85;2 des anomalies de la deuxieme fente. La forme oropharyngee est tres rare. But : Analyser les caracteristiques anatomo-cliniques et discuter les modalites de prise en charge et les indications therapeutiques de cette affection. Methode : etude retrospective menee sur une periode de 10 ans (2000- 2009) a propos de 31 cas de kystes amygdaloides colliges au service d'ORL et de chirurgie cervico-faciale de La Rabta. Resultat : L'age moyen de nos patients etait de 28 ans et 7 mois avec un sex-ratio de 0;47. La duree d'evolution etait de 14 mois. L'examen physique a trouve une masse submandibulaire dans 2 cas; retro-angulo-mandibulaire dans 2 cas et jugulo-carotidienne dans 27 cas. Vingt neuf patients ont eu une echographie cervicale ayant montre une masse kystique dans 23 cas. La TDM cervicale a ete pratiquee dans 13 cas; faisant evoquer le diagnostic dans 7 cas. Une masse liquidienne parapharyngee a ete retrouvee dans un cas motivant la pratique d'un examen radiologique complementaire par une IRM cervicale. Une ponction cytologique a ete pratiquee dans 16 cas; ayant montre un materiel kystique dans 12 cas. Trente patients ont eu un traitement chirurgical avec exerese complete du kyste. Une mise a plat de la collection paraphryngee a ete pratiquee dans un cas. L'evolution a ete favorable dans 29 cas avec un recul moyen de 2ans et 9 mois. Deux cas de recidive ont ete notes. Conclusion : Les kystes amygdaloides sont des malformations relativement rares; leur diagnostic est suspecte a l'examen physique oriente par les donnees de l'imagerie et confirmee par l'examen anatomopathologique. Le traitement est chirurgical; seule l'exerese complete du kyste permet de prevenir les recidives ulterieures
Subject(s)
Branchioma , Branchioma/diagnosis , Branchioma/surgery , OropharynxABSTRACT
Branchial Cysts are uncommon anomalies in regular clinical practice. However, among congenital cervical cysts, they represent about 30% from total. Objective: Characterize patients diagnosed with operated branquial cyst in our clinical center, and correlate clinic, imaging and final diagnose. Material and methods: Retrospective descriptive study of discharged patients diagnosed as cervical cysts, between January 2005 and July 2011, at Hospital Clinico Universidad de Chile. Selection of Clinical records with final diagnose of branchial cyst were selected. Age, sex, clinical story, imaging exams, pre-operative and post-operative diagnoses, and biopsy report were registered. Results: from a total of 149 cervical cysts, 31 (20,8%) were branchial cysts. Man 45% and women 55%. By age, 9 (29%) were < 15 years old (average: 6,69 years) and 22 (70,9%) > 15 years (average: 33,7 years). Lateral cervical mass was the most common clinical manifestation. Regarding Imaging study, 15 cervical ultrasounds (sensibility 0,86 and specificity 0,98) and 13 cervical CTA scans (sensibility 0,92 and specificity 0,94) were conducted. In 9 patients, imaging studies weren't conducted for the clinical diagnose (sensibility 0,77 and specificity 0,98). Correlation of pre-operative and post-operative diagnose was 87%. Discussion: According to literature, presentation age is generally during childhood; however, in our statistics it presented during adult age, which could be explained due to the main focus our medical center has for adult population. Most common clinical presentation was lateral neck mass, which had a good clinical correlation, however improves with imaging studies. (AU)
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Branchioma/diagnosis , Branchioma/epidemiology , Branchial Region/physiopathology , Branchioma/surgeryABSTRACT
Dermoids on lateral aspect of neck are very rare. We present a case of benign dermoid cyst on the lateral neck mimicking a branchial cyst. The popular theory of their origin from embryonic rest cells in fusion lines does not explain their location in the lateral neck especially at the junction of upper and middle third neck. We discuss the pathogenesis, radiological findings and review the literature
Subject(s)
Humans , Male , Head and Neck Neoplasms , Branchioma/diagnosis , Tomography, X-Ray ComputedABSTRACT
We report a case of congenital benign cervical teratoma in a female child. The unusual asymptomatic nature of the tumour and its relationship with the thyroid is highlighted.
Subject(s)
Branchioma/diagnosis , Child , Diagnosis, Differential , Female , Head and Neck Neoplasms/congenital , Humans , Teratoma/congenitalABSTRACT
We report our experience of 148 cases of congenital cystic anomalies of the head and neck, operated in a twenty-year period. The goal of this study is to evaluate the frequency of the different anomalies and our diagnostic and therapeutic approach. This retrospective study has analyzed 148 cases of children who had surgery for a congenital cyst or fistula of the head or the neck. Thyroglossal duct cyst was the most frequent anomaly [52.7%]. The diagnosis was mostly clinical without need to further explorations. Surgical repair was well codified and consisted in an excision of 78 thyroglossal cysts, 41 dermoid cysts and 29 branchial fistulas. Six cases of thyroglossal cysts needed redo surgery. Six other patients had non specific complications
Subject(s)
Humans , Male , Female , Branchioma , Head and Neck Neoplasms , Branchioma/diagnosis , Thyroglossal Cyst/diagnosis , Cysts/congenital , Retrospective StudiesABSTRACT
Se presenta un enfermo de 63 años de edad, con un tumor voluminoso en cara anterior del cuello, que se moviliza a la deglución. La biopsia aspirativa con aguja fina (BAAF) informó tejido tiroideo. Se comprueba con la exéresis del tumor el diagnóstico de quiste branquial en una localización inusual(AU)
A 63-year-old patient with a voluminous tumor in the anterior side of the neck that mobilizes on deglutition is presented. Thyroid tissue was found on performing fine needle aspiration biopsy (FNAB). The diagnosis of branchial cyst in an unsual localization was proved with the exeresis of the tumor(AU)
Subject(s)
Humans , Male , Middle Aged , Biopsy, Needle/methods , Branchioma/surgery , Branchioma/diagnosis , Head and Neck Neoplasms/surgery , Head and Neck Neoplasms/pathologyABSTRACT
O cisto do ducto tireoglosso é uma das mais freqüentes anomalias congênitas do pescoço. As afecções branquiais são um terço menos freqüentes que os cistos do ducto tireoglosso. Este relato de caso descreve um paciente com um cisto do ducto tireoglosso concomitante com restos branquiais. Foi submetido à cirurgia com sucesso e o diagnóstico definido pelo exame histopatológico. O possível desenvolvimento embiológico de cada patologia é discutido, e a revisão da literatura mostra que este é um caso raro. O achado de variações de apresentação de afecções comuns pode ser maior do que supõe.
Subject(s)
Humans , Male , Child, Preschool , Branchioma/diagnosis , Head and Neck Neoplasms/diagnosis , Thyroglossal Cyst/diagnosis , Branchioma/pathology , Branchioma/surgery , Head and Neck Neoplasms/surgery , Head and Neck Neoplasms/pathology , Thyroglossal Cyst/pathology , Thyroglossal Cyst/surgeryABSTRACT
Presentamos el caso de paciente masculino, de 33 años de edad, quien consulta por tumoración en hemicuello derecho. El ecosonograma revela imagen ecomixta en base del cuello, y la glándula tiroides de características normales. La punción aspiratoria con aguja fina dirigida por ultrasonido informa probable carcinoma papilar de tiroides. Es intervenido quirúrgicamente; la biopsia concluye: microcarcinoma papilar de tiroides con metástasis a ganglio linfático cervical ubicado en la pared de un quiste branquial. Se destaca la utilidad diagnóstica preoperatoria de la punción con aguja fina y se revisa literatura
Subject(s)
Humans , Male , Adult , Branchioma/congenital , Branchioma/diagnosis , Carcinoma, Papillary/diagnosisABSTRACT
Se presenta el caso de un paciente que presenta tumofacción de pared abdominal de localización umbilicalcon una evolución de 4 semanas y presencia de derrame parcial mínimo seropurilento del mismo en las últimas tres semanas acompañado de alteraciones imflamatorias de la piel y que aparentemente no estaba condicionado por una alteración o infección intraperitoneal.
Subject(s)
Humans , Male , Female , Adult , Urachal Cyst , Urachal Cyst/classification , Urachal Cyst/diagnosis , Urachal Cyst/rehabilitation , Urachal Cyst/surgery , Branchioma , Branchioma/diagnosis , Branchioma/metabolism , Branchioma/surgery , Branchioma/therapy , Urachal Cyst , Urachal Cyst/diagnosis , Urachal Cyst/surgerySubject(s)
Humans , Male , Female , Infant, Newborn , Congenital Abnormalities/genetics , Embryonic Structures/embryology , Head and Neck Neoplasms/diagnosis , Head and Neck Neoplasms/therapy , Branchioma/diagnosis , Branchioma/therapy , Dermoid Cyst/diagnosis , Dermoid Cyst/therapy , Branchial Region/abnormalities , Thyroglossal Cyst/diagnosis , Thyroglossal Cyst/therapyABSTRACT
Presentamos dos casos de quiste branquial, diagnosticados y tratados quirúrgicamente en el Servicio de Cirugía General del Hospital Municipal Dr. Francisco A. Rísquez de Caracas, siendo éstos los únicos casos observados en nuestra Institución durante 10 años (1982-1992), del reinicio de las actividades quirúrgicas. Nuestros pacientes, de 17 y 20 años, consultaron por gran tumoración cervical, de un año de evolución, ambas localizadas en el borde anterior del músculo esternocleidomastoideo. El diagnóstico se realizó mediante la citología por punción con aguja fina, ultrasonido cervical y TAC. El tratamiento consistió, en la exéresis de la tumoración a través de una cervicotomía transversa. Las anomalías congénitas de la segunda hendidura branquial, dan origen a esta entidad, descubriéndose con mayor frecuencia en la 2da. década de la vida, siendo su ubicación más frecuente en el borde anterior del esternocleidomastoideo, en la región de la bifurcación de la carótida primitiva. En vista de que estos quistes tienden a infectarse, se recomienda su extirpación
Subject(s)
Adolescent , Adult , Humans , Male , Branchioma/diagnosis , Branchioma/therapy , Cell BiologyABSTRACT
The aim of this work was to analize retrospectively the clinical features of 32 patients aged 23.9 years (21 female) with histological diagnosis of second branchial cleft cyst. In 28 patients, the cyst was localized below the mandibular angle. The presenting symptom was a cervical tumor in 30 patients and pain in eight. Fourteen aspiration punctures was performed obtaining 8 purulent and 6 straw colored aspirates. The preoperative diagnosis was correctly made in only 19 patients; the principal confounding diagnosis was tuberculous adenitis. All patients were operated performing a complete cystectomy in 30 and partial cystectomy in 2. Three patients had a surgical wound infection and the cyst recurred 5 months and 4 years after operation in the 2 patients subjected to partial cystectomy. The histological study revealed squamous epithelial with underlying lymphoid tissue. It is concluded that aspiration puncture is useful for the correct diagnosis and that the cyst must be completely erradicated to avoid recurrences
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Adolescent , Adult , Middle Aged , Branchioma/surgery , Head and Neck Neoplasms/surgery , Postoperative Complications , Biopsy, Needle , Branchioma/diagnosis , Branchioma/epidemiologyABSTRACT
El carcinoma branquiogénico es una neoplasia maligna que ha despertado controversia en la literatura mundial ya que muchos autores dudan o niegan la existencia de esta neoplasia, la cual corresponde a una neoplasia epitelial maligna que se origina en el epitelio de revestimiento de un quiste branquial. Presentamos el caso de un carcinoma espinocelular originado en un quiste branquial, con cinco años de seguimiento posterior al diagnóstico, en un niño de 8 años de edad, el cual reune los criterios establecidos por Martin para definir este tipo de neoplasias. Actualmente el paciente se encuentra libre de neoplasia y sin evidencia de un tumor primario en nasofaringe
Subject(s)
Child , Humans , Male , Branchioma/diagnosis , Branchioma/physiopathology , Carcinoma, Squamous Cell/pathologyABSTRACT
Se reporta el caso de una niña de 13 años de edad con diagnóstico de dermatomiositis juvenil, quien posteriormente presenta una masa cervical fluctuante, dolorosa, conteniendo saliva, cuyo examen anatomopatológico postmortem correspondió a ránula cervical. Se describen: el proceso de diagnóstico, diagnósticos diferenciales, así como posibles causas de su aparición y su relación con la enfermedad sistémica