Assessment and management of presumed branchial cleft cysts: our experience.
B-ENT
; 12(4): 291-296, 2016.
Article
em En
| MEDLINE
| ID: mdl-29709133
ABSTRACT
Assessment and management of presumed branchial cleft cysts our experience. OBJECTIVES:
The aim was to assess the accuracy of diagnosis and management of presumed branchial cleft cysts in our centre.METHODOLOGY:
Retrospective review of patients with a clinical diagnosis of branchial cleft cyst at B arts Health NHS Trust from 2009 to 2015.RESULTS:
67 patients underwent surgical excision for presumed branchial cysts. Ninety per cent were histologically confirmed, 7% demonstrated cystic metastatic squamous cell carcinoma, and 3% lymph node metastases from papillary thyroid cancer. No patient had pre-operative Multi-Disciplinary Team (MDT) discussion. Pre-operative FNA had a positive predictive value of 90% (95% Cl 0.82-0.95). Age >40 years (p=0.02) and presence of lymph nodes (p=0.02) carried a higher risk of malignancy.CONCLUSIONS:
Patients >40 years with or without multiple lymph nod 'es on imaging should be treated as presumed meta- static cancer. Consideration should be given to concurrent panendoscopy and intra-operative frozen section +/- selective neck dissection after discussion at the Head & Neck MDT.
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Base de dados:
MEDLINE
Assunto principal:
Branquioma
/
Neoplasias de Cabeça e Pescoço
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article