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branchial cleft cyst

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branchial cleft cyst
Branchial cyst A cyst-like embryologic rest–remnant present at birth, which arises from branchial clefts, usually the 2nd, at the end of the trachea and branch into the lungs; BCCs often present as asymptomatic unilateral fluctuant masses posteroinferior to the angle of the jaw and anterior to the sternocleidomastoid muscle; it is characterized by having cartilage as part of the supporting wall structure; BCCs may not be recognized until adolescence when enlarged; BCCs may develop a sinus or drainage path to the skin surface from which mucus can be expressed Management Total surgical excision; recurrence is rare


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14) The differential diagnosis of a parapharyngeal mass includes lymphadenopathy, a branchial cleft cyst, a salivary gland tumor, an aneurysm of the carotid artery, a neurogenic tumor, a pleomorphic adenoma, and a paraganglioma.
12) On the basis of clinical appearance, the differential diagnosis includes pyogenic granuloma, actinomycosis, thyroglossal duct cyst, branchial cleft cyst, furuncle, squamous cell carcinoma, and epidermal cyst.
Thyroid papillary carcinoma arising in ectopic thyroid tissue within a branchial cleft cyst.
 
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