ABSTRACT
Dentro de los quistes cervicales congénitos los quistes branquiales son los segundos en frecuencia luego del quiste tirogloso, representando el 24% de los casos. De éstos, los quistes de segundo arco branquial son los más frecuentes con 90%-95% de los casos. Se presentan en un amplio rango de edad siendo comúnmente diagnosticados en niños mayores y adultos, cuya primera manifestación clínica puede ser un aumento de volumen relativamente brusco por infección. Se presenta el caso clínico de un recién nacido (RN) que debuta a las 48 horas de vida con estridor y dificultad para la alimentación oral. El estudio de imágenes con tomografía computarizada (TC) y resonancia magnética (RM) muestran una lesión quística del espacio parafaríngeo derecho que se proyecta hacia nasofaringe y orofaringe. Se realiza la exéresis de la lesión vía transoral. Biopsia rápida y diferida confirman diagnóstico de quiste branquial. Se revisa literatura sobre quistes de segundo arco branquial de ubicación en el espacio parafaríngeo siendo muy pocos los casos reportados.
Within the congenital cervical necks, the branchial cleft cyst are the second in the frequency after the shooting, accounting for 24% of the cases. Of the Second branchial cleft cyst are with the most frequent with 90-95% of the cases. It occurs in a wide range of ages and is commonly diagnosed in older children and adults, whose first clinical manifestation may be an increase in volume after infection. We present a clinical case of newborn that debuts at 48 hours of life with stridor and difficulty for oral feeding. The imaging study with Computed Tomography (CT) and Magnetic Resonance imaging (MRI) show a cystic lesion of the right parapharyngeal space projecting into the nasopharynx and oropharynx. The excision of the transoral lesion is performed. Frozen biopsy and diagnostic biopsy demonstrating a branchial cyst. We review the literature on the second branchial cleft cyst of the location in the parapharyngeal space with very few reported cases.
Subject(s)
Humans , Male , Infant, Newborn , Branchioma/surgery , Branchioma/diagnostic imaging , Head and Neck Neoplasms/surgery , Head and Neck Neoplasms/diagnostic imaging , Branchioma/pathology , Head and Neck Neoplasms/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
Cutaneous lung tissue heterotopia is a very rare disorder where mature lung tissues develop in the skin. This is only the second known report of cutaneous lung tissue heterotopia, with the first by Singer et al. in 1998. A newborn infant had a hemangioma-like, freely movable mass connected to the anterior aspect of the sternal manubrium. Pathologic findings showed mature lung tissues with bronchi, bronchioles, and alveoli through the dermis and subcutis, and it was diagnosed as cutaneous lung tissue heterotopia. Cutaneous lung tissue heterotopia is hypervascular, so grossly it looks like a hemangioma. It can be differentiated from pulmonary sequestration, teratoma, bronchogenic cyst, and branchial cleft cyst by histology and the location of the mass. We describe the clinical, radiologic, and pathologic findings of a cutaneous lung tissue heterotopia, the first reported in Korea.
Subject(s)
Humans , Infant, Newborn , Male , Branchioma/pathology , Bronchogenic Cyst/pathology , Choristoma/pathology , Lung , Magnetic Resonance Imaging , Republic of Korea , Skin Diseases/pathology , Skin Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
We report here on an extremely rare case of an intrathyroidal branchial cleft cyst. Intrathyroidal branchial cleft cyst is rare disease entity and it has nonspecific findings on sonography, so the diagnosis of the lesion is very difficult. However, during aspiration, if pus-like materials are aspirated from a thyroid cyst, we should consider the possibility of intrathyroidal branchial cleft cyst in the differential diagnosis.
Subject(s)
Humans , Female , Adult , Thyroid Neoplasms/pathology , Thyroid Gland/diagnostic imaging , Diagnosis, Differential , Branchioma/pathology , Biopsy, Fine-NeedleABSTRACT
Second branchial cleft cysts are the most common type of branchial abnormalities and usually found high in the neck. Oropharyngeal presence of branchial cleft cyst is very rare. We report a case of oropharyngeal branchial cleft cyst in 2-yr-old girl with about 1x1 cm sized cystic mass, which had not any specific symptom. It was removed completely under impression of mucocele and did not have tract-like structure. However, cyst had a squamous epithelium-lined wall with lymphoid aggregation in histopathologic study, which was characteristic finding of branchial cleft cyst. Patient discharged without any complication and there was no evidence of recurrence for 18 months follow-up. We review reported oropharyngeal or nasopharyngeal presentation of these cases in English literature and embryological explanation.
Subject(s)
Child, Preschool , Female , Humans , Branchioma/pathology , Diagnosis, Differential , Oropharyngeal Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
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
We describe the clinico-pathological features and discuss the possible pathogenetic mechanism of thyroid papillary carcinoma arising in a branchial cleft cyst. This has been described only once previously in the literature.
Subject(s)
Humans , Male , Adult , Thyroid Gland/pathology , Branchioma/pathology , Carcinoma, Papillary/pathology , Head and Neck Neoplasms/pathology , JamaicaABSTRACT
Os autores apresentam um caso de cisto branquial com história e evoluçäo atípicas. O paciente apresentava paralisia da prega vocal esquerda e desvio da laringe e traquéia para o lado contralateral. Os exames revelaram massa cervical benígna e a cervicotomia exploradora encontrou massa cística entre a traquéia e os grandes vasos, com desvio lateral dos mesmos e adelgaçamento do nervo laringeo inferior. Relatam sobre as teorias da formaçäo dos cistos e fístulas branquiais. Enfatizam a necessidade do conhecimento sobre as massas cervicais para o diagnóstico diferencial
Subject(s)
Humans , Adult , Male , Branchioma/pathology , Head and Neck Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
Trata-se de uma paciente com 75 anos de idade portadora de uma massa cística cérvico-facial direta com evoluçäo de 25 anos. Houve invasäo do espaço parafaríngeo trazendo dificuldade a deglutiçäo devido ao seu enorme volume. A tomografia computadorizada mostrou, do lado do tumor, erosäo do ramo mandibular e parte do osso hióide. A paciente foi submetida a cirurgia utilizando-se via combinada, ou seja, pela cavidade oral e externa com preservaçäo do nevo facial. o exame anatomopatológico revelou presença de cristais de colesterol no interior do cisto que, associado a sua localizaçäo, nos leva ao diagnóstico de cisto branquial