ABSTRACT
This case report describes a fetal piriform sinus cyst identified via tomographic ultrasound imaging and discusses its prenatal sonographic characteristics. We employed the tomographic ultrasound imaging function of the GE Voluson Ultrasound E10 to visualize multilevel transverse sections of the cyst. Specifically, we propose for the first time that the cross-sectional shape of a piriform sinus cyst composed of aryepiglottic folds approximates a triangle. This special shape facilitates the precise localization of the piriform sinus, providing valuable insights for timely diagnosis and appropriate postnatal management.
Subject(s)
Branchioma , Ultrasonography, Prenatal , Humans , Adult , Ultrasonography, Prenatal/methods , Pregnancy , Branchioma/diagnostic imaging , Branchioma/pathology , Gestational Age , Infant, NewbornABSTRACT
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
Las lesiones quísticas del triángulo posterior forman una entidad patológica cuyo diagnóstico se realiza en los 2 primeros años de vida. Su presentación en la edad adulta es un hallazgo ocasional y su diagnóstico diferencial incluye el linfangioma quístico, las metástasis linfáticas del cáncer de tiroides y el quiste branquial. Con frecuencia, ante el hallazgo de una tumoración cervical se realiza PAAF previa a la imagen diagnóstica, sin embargo, este procedimiento no siempre es el aconsejable. Hemos revisado los casos de pacientes que acudieron en este último año a nuestro servicio con lesiones en esta localización correlacionando los hallazgos de imagen con los resultados anatomopatológicos. Mostramos los hallazgos de imagen característicos de estas entidades con el fin de realizar un diagnóstico precoz que permita el abordaje y tratamiento adecuado del paciente adulto con una lesión quística en el triángulo cervical posterior (AU)
Cystic lesions of the posterior triangle are a pathologic entity whose diagnosis is made in the first two years of life. Its presentation in adulthood is an incidental finding and the differential diagnosis includes cystic lymphangioma, lymphatic metastasis of thyroid cancer and branchial cyst. Often with the finding of a cervical lump, FNA is made before diagnostic imaging is performed, however, this procedure is not always advisable. We reviewed the cases of patients who came last year to our department with a cystic mass in this location and correlating the imaging findings with pathologic specimen. We show characteristic findings of these lesions in order to make an early diagnosis and thus to get the approach and treatment appropriate of adult patients with a cystic lesion in the posterior cervical triangle (AU)
Subject(s)
Humans , Male , Female , Cysts , Lymphangioma , Head and Neck Neoplasms , Thyroid Neoplasms/pathology , Branchioma , Carcinoma, Papillary , Cysts/pathology , Neck/pathology , Branchioma/pathology , Retrospective Studies , Tomography, X-Ray ComputedABSTRACT
El quiste branquial es una lesión congénita que resulta de un defecto en la obliteración de los arcos branquiales cuyo componente epitelial podría ser el origen de una neoplasia de células escamosas, lo que antiguamente se llamó «carcinoma branquiogénico». Desde su introducción, la existencia de esta lesión ha sido objeto de controversia por la falta de criterios diagnósticos reproducibles que permitan diferenciarlo de la metástasis ganglionar quística por carcinomas epidermoides, especialmente los originados en el anillo de Waldeyer, los cuales pueden presentarse hasta en el 25% de los casos como un carcinoma de origen desconocido. El objetivo de este trabajo es presentar un caso clínico y revisar los criterios propuestos por varios autores para el diagnóstico diferencial de ambas lesiones (AU)
A branchial cleft cyst is a congenital lesion resulting from a defect in the obliteration of the branchial clefts. The epithelial component of the cyst may give rise to squamous cell carcinoma or "branchiogenic carcinoma". However, such an occurrence is controversial due to lack of diagnostic criteria that differentiate a primary squamous cell carcinoma from a metastatic one, especially when it arises in Waldeyer's ring, a structure responsible for 25% of cases of carcinomas of unknown origin. We present a case and review diagnostic criteria (AU)
Subject(s)
Humans , Male , Middle Aged , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/pathology , Branchioma/complications , Branchioma/diagnosis , Branchioma/pathology , Neoplasm Metastasis/pathology , Neoplasm Metastasis , Diagnosis, Differential , Immunohistochemistry , Polymerase Chain Reaction/methods , Polymerase Chain ReactionABSTRACT
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
No disponible
Subject(s)
Humans , Male , Middle Aged , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/diagnosis , Branchioma/complications , Branchioma/surgery , Branchioma/pathology , Branchioma , Neoplasm Metastasis/diagnosis , Neoplasm Metastasis/prevention & control , Neoplasms, Unknown Primary/diagnosis , Fistula/complicationsABSTRACT
Se presenta un caso de Branquioma Maligno. N. B. M., de 52 años, masculino, blanco, B-1224.06, que acude a consulta por presentar nódulo en la región lateral derecha del cuello de 4 x 3 cms, por delante del esternocleidomastoideo, por debajo del ángulo de la mandíbula, bien delimitada, redondeada, no dolorosa, no fija a los planos profundos, blanda, renitente, diagnosticada clínicamente como quiste branquial; en la toma de la muestra se confirma el carácter quístico de la lesión; el material es untuoso pero no característico de quiste branquial.La muestra de la PAAF estaba constituida microscópicamente por células en fibra, células en renacuajo, células poligonales, y células naranjófilas; las células presentaban anisonucleosis, macronucleosis, pérdida de la relación núcleo citoplasma, distribución irregular de la cromatina, marginación periférica de la cromatina, cromatina en gránulos groseros y queratinización individual. Se diagnosticó como: Compatible con Branquioma maligno, se requiere biopsia exerética para confirmación diagnóstica definitiva. Se plantea que el primer diagnóstico diferencial debe hacerse con las metástasis de carcinoma en ganglios de la región lateral del cuello, en especial de un primario situado en amígdalas o base de lengua, que puede ser tan pequeño que pudiera ser detectado solo por biopsias a ciegas del lecho amigdalino. Se exponen los Criterios de Martin H2, modificados por Khafif RA3, de Certeza de Branquioma maligno: 1) localización del tumor en la región anatómica donde se originan los quistes branquiales, 2) aspecto histológico del tumor compatible con su origen en restos branquiales, 3) Supervivencia no menor de 5 años, posterior al diagnóstico, sin que se identifique un tumor primario en exámenes periódicos, 4) Presencia de carcinoma en la pared de un quiste epitelial identificable, 5) Identificar una zona de transición entre el epitelio escamoso normal del quiste y el carcinoma, 6) Ausencia de tumor maligno primario, de otra localización, después de una exhaustiva evaluación del paciente
Introduction: The hypothesis that some malignant lesions from the lateral region of the neck could develop from branchial clefts was proposed in 1882 by Von Volkman. Martin H. et al. defined malignant tumours originating from vestigial remmanants of this structures. Many of them are epithelial as branchiogenic carcinoma However, they precise that these tumors must be called malignant branchiomas because they can also originate from the conective tissue of the cystic wall. Method: A case of malignant branchioma in a 52 years old, white male is reported. The patient presented a latero-cervical cyst. Fine Needle Aspiration Cytology (FNAC) and an excisional biopsy were performed. Samples were stained with hematoxylin and eosin and Massons Trichrome.Results: A dignosis of consistent with malignant branchioma based on Martin H s criteria modified by Khafif RA was made. An other possible primary tumor was not found at any location. In this way, the diagnosis of malignant branchioma was confirmed. At the present time, the patient is free of disease and without evidence of other primary tumor of nasopharynx or elsewhere. An analytic review of the literature was made (AU)
Subject(s)
Humans , Male , Middle Aged , Branchioma/pathology , Head and Neck Neoplasms/pathology , Diagnosis, Differential , Lymphatic Metastasis/pathology , Biopsy , Papilloma/pathology , Neoplasms, Unknown PrimaryABSTRACT
Las anomalías derivadas del desarrollo del tercer arco y bolsa branquiales representan menos del 1% del total de estas malformaciones. Su forma de manifestación puede ser variada, aunque la más frecuente es la forma quística y pueden aparecer en cualquier etapa de la vida. Presentamos el caso clínico correspondiente a un paciente de 7 años con una tumoración laterocervical derecha de un año de evolución, diagnosticado de quiste branquial y con un estudio anatomopatológico tras la extirpación de restos tímicos. De igual modo realizamos una revisión de la literatura de estos casos
The third branquial arch anomalies represent less than 1% of this deformites. The clinical manifestation can be varied althouth the formation of cysts is the commonest one and may appear at any time in life. We report the clinical case of a 7 year old boy with an neck mass. This mass was diagnosed as a branquial cyst. The patologist found a "timic reminescences". We carry out a review of the literature for this pathology
Subject(s)
Male , Child , Humans , Branchial Region/abnormalities , Branchial Region/pathology , Branchioma/pathology , Branchial Region/surgery , Branchioma/surgery , Magnetic Resonance ImagingABSTRACT
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
La variedad de lesiones que afectan a la cabezay el cuello en niños se pueden subdividir según suetiología en infecciosas, neoplásicas o de origencongénito. Las masas congénitas en el cuello incluyenquistes branquiales, los quistes tiroglosos, losquistes ectópicos del timo, los quistes dermoides,las anormalidades vasculares, y las malformacioneslinfáticas tales como el higroma quístico. Este artículose centra principalmente en las patologíasmás comunes: los quistes branquiales, los quistesdel conducto tirogloso y las malformaciones linfáticas
The variety of lesions involving the head and neckin children can be subdivided by etiology into thosethat result from infection or neoplasm and those ofcongenital origin. Congenital masses in the neck includebranchial cleft cysts, thyroglossal duct cysts,ectopic thymus cysts, dermoid and teratoid cysts,cystic vascular abnormalities, and lymphatic malformationssuch as the cystic lymphangioma. This articlemainly focuses on the common entities of branchialcleft cysts, thyroglossal duct cysts and lymphaticmalformations
Subject(s)
Male , Female , Infant , Child , Child, Preschool , Humans , Head and Neck Neoplasms/congenital , Thyroglossal Cyst/pathology , Branchioma/pathology , Ganglia/abnormalities , Pharynx/abnormalities , Branchial Region/abnormalities , Lymphangioma, Cystic/pathology , Head and Neck Neoplasms/pathologyABSTRACT
Objetivo: Determinar la efectividad de los diagnósticos clínico y citológico en los quistes congénitos cervicofaciales. Método: Se realizó un estudio retrospectivo de los pacientes con diagnóstico clínico, citológico y/o histológico de quiste tirogloso, branquial y dermoide, atendidosen el Hospital Universitario "Arnaldo Milián Castro", durante cinco años. Se calculó la sensibilidad, especificidad y seguridad del diagnóstico clínico y la biopsia por aspiración con aguja fina (FNAC) para cada quiste. Resultado: La seguridad del diagnóstico clínico fue de 94,1 por ciento, 92,2 por ciento y 98 por ciento para los quistes tirogloso branquial y dermoide respectivamente. Encontramos mayor tendencia al error clínico en los quistes branquiales, donde las confusiones más frecuentes se presentan con linfoadenopatías inflamatorias. La seguridad de la biopsia por aspiración con aguja fina fue de 96,1 por ciento y 94,1 por ciento para los quistes tirogloso y branquial respectivamente. Conclusiones 8 diagnóstico clínico no es suficiente en ocasiones, por lo que es preciso recurrir a medios diagnósticos complementarios, como la biopsia por aspiración con aguja fina; sin embargo esta prueba no es 100 por ciento segura (AU)
Subject(s)
Humans , Thyroglossal Cyst/pathology , Branchioma/pathology , Dermoid Cyst/pathology , Biopsy, Fine-Needle/methods , Cytological Techniques , Histological Techniques , Retrospective StudiesABSTRACT
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. (AU)
Subject(s)
Humans , Male , Adult , Case Reports , Branchioma/pathology , Carcinoma, Papillary/pathology , Head and Neck Neoplasms/pathology , Thyroid Gland/pathology , JamaicaABSTRACT
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