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Epithelial cyst in the posterior triangle of the neck: atypical branchial cyst or cystic lymph node metastasis?


Vital, Domenic; Huber, Gerhard F; Pézier, Thomas F; Rössle, Matthias; Probst, Rudolf; Widmer, Gian-Marco (2014). Epithelial cyst in the posterior triangle of the neck: atypical branchial cyst or cystic lymph node metastasis? Case Reports in Otolaryngology, 2014:912347.

Abstract

We report the case of a 66-year-old man with a cervical neck mass located behind the left sternocleidomastoid muscle. To exclude malignancy, a full workup, including clinical, radiological, and cytological examination, was performed but failed to provide a definitive diagnosis. Histological analysis following excisional biopsy revealed a benign epithelial cyst, consistent with an atypically located branchial cyst. We describe an approach to the management of these neck masses and discuss several theories of the etiology of branchial cysts and how they may come to be abnormally located.

Abstract

We report the case of a 66-year-old man with a cervical neck mass located behind the left sternocleidomastoid muscle. To exclude malignancy, a full workup, including clinical, radiological, and cytological examination, was performed but failed to provide a definitive diagnosis. Histological analysis following excisional biopsy revealed a benign epithelial cyst, consistent with an atypically located branchial cyst. We describe an approach to the management of these neck masses and discuss several theories of the etiology of branchial cysts and how they may come to be abnormally located.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Otorhinolaryngology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2014
Deposited On:09 Dec 2014 15:57
Last Modified:08 Dec 2017 08:52
Publisher:Hindawi Publishing Corporation
ISSN:2090-6773
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1155/2014/912347
PubMed ID:24523976

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