Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?

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...

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Main Authors: Domenic Vital, Gerhard F. Huber, Thomas F. Pézier, Matthias Rössle, Rudolf Probst, Gian-Marco Widmer
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2014/912347
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author Domenic Vital
Gerhard F. Huber
Thomas F. Pézier
Matthias Rössle
Rudolf Probst
Gian-Marco Widmer
author_facet Domenic Vital
Gerhard F. Huber
Thomas F. Pézier
Matthias Rössle
Rudolf Probst
Gian-Marco Widmer
author_sort Domenic Vital
collection DOAJ
description 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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institution Kabale University
issn 2090-6765
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-5af1e04d4aae48ea8073aecd9e6fbb2c2025-08-20T03:34:42ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/912347912347Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?Domenic Vital0Gerhard F. Huber1Thomas F. Pézier2Matthias Rössle3Rudolf Probst4Gian-Marco Widmer5Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Frauenklinikstrasse 24, 8091 Zurich, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Frauenklinikstrasse 24, 8091 Zurich, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Frauenklinikstrasse 24, 8091 Zurich, SwitzerlandInstitute of Surgical Pathology, University Hospital of Zurich, Schmelzbergstrasse 12, 8091 Zurich, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Frauenklinikstrasse 24, 8091 Zurich, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Frauenklinikstrasse 24, 8091 Zurich, SwitzerlandWe 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.http://dx.doi.org/10.1155/2014/912347
spellingShingle Domenic Vital
Gerhard F. Huber
Thomas F. Pézier
Matthias Rössle
Rudolf Probst
Gian-Marco Widmer
Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?
Case Reports in Otolaryngology
title Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?
title_full Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?
title_fullStr Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?
title_full_unstemmed Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?
title_short Epithelial Cyst in the Posterior Triangle of the Neck: Atypical Branchial Cyst or Cystic Lymph Node Metastasis?
title_sort epithelial cyst in the posterior triangle of the neck atypical branchial cyst or cystic lymph node metastasis
url http://dx.doi.org/10.1155/2014/912347
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