branchial cleft cyst


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bran·chi·al cyst

a cervical cyst arising from developmental persistence of an ectodermal pharyngeal groove, usually the second. It is frequently located anterior to the inferior third of the sternocleidomastoid muscle.

branchial cleft cyst

A benign developmental cyst arising from the persistence of ectodermal branchial cleft (groove) or endodermal pharyngeal pouches.

Management
Surgical excision if needed.

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
References in periodicals archive ?
1) The differential diagnoses for the contents are as follows: metastatic disease, lymphoma, adenitis, obstructed submandibular duct, salivary gland tumors, abscess, Ludwig's angina, thyroglossal duct cyst, hemangioma, lymphangioma, dermoid/epidermoid, diving ranula (complex), second branchial cleft cyst (more common in children) (Figure 16).
Of these, Rathke's pouch, Thornwaldt's, adenoid retention cysts are in the midline but branchial cleft cyst is on the lateral wall of nasopharynx.
Branchial cleft cyst can be inherited as an autosomal dominant trait (Bums, Dunn, Brady, Starr, & Blosser, 2009).
Lesions may resemble a pyogenic granuloma, actinomycosis, a thyroglossal duct cyst, a branchial cleft cyst, a furuncle, a squamous cell carcinoma and an epidermal cyst (1).
Based on topography and the histopathologic and immunohistochemical results, the masses were determined to be a second branchial cleft cyst for the first case and a second branchial pouch cyst for the second case.
Prior to referral, an ultrasound scan was carried out and revealed a 5 x 2 cm multiloculated (septated) cystic swelling, with internal septae, related to the right sternocleidomastoid with an initial impression of branchial cleft cyst with internal haemorrhage.
The patient underwent excisional biopsy of the right neck mass, with a clinical diagnosis of branchial cleft cyst.
Examples of benign neoplasms include TGDC, dermoid cyst branchial cleft cyst and cervical adenitis[2] Congenital lesions present from birth to shortly after birth and account for 55 percent of benign lesions.
One case had branchial cleft cyst and CT showed a cystic lesion with good delineation of the extent of the lesion.
A barium swallow esophagogram revealed a fistulous tract from the piriform sinus to a right fourth branchial cleft cyst (figure 1, B).
The differential diagnosis of cystic cervical masses includes thyroid cyst, thymic cyst, thyroglossal duct cyst, branchial cleft cyst, bronchogenic cyst, lymphangioma and parathyroid cyst (PC) (1).