The Authors report three cases of epidermoidal carcinoma arising from a congenital cyst of the anterolateral region of the neck. This type of tumor, rarely found in daily practice, arises from a degenerate branchial tissue and differential diagnosis often includes nodal involvement from systemic neoplasias. However, diagnostic criteria of such diseases are well defined; furthermore the rarity of branchial carcinoma is opposed to the high frequency of metastatic lymph nodes deriving from tumors with similar histological aspects located in other sites which could alter the real percentage of branchial tumor manifestation.
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Oral Oncol
March 2025
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Jilin University, Changchun 130021, China; Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Jilin University, Changchun, China. Electronic address:
Branchial cleft cysts are congenital anomalies of development, with the second branchial cleft cyst being the most common clinically. In extremely rare cases, branchial cleft cysts can undergo malignant transformation. Herein, we present a rare case of a 65-year-old male patient who had a painless neck mass on the left side for 6 months.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
February 2025
Dept. of Pathology, IMS and SUM Hospital, Bhubaneswar, India.
Isolated cystic cervical swelling may be a presentation of a branchial cyst, tubercular lymphadenitis, or maybe a metastatic lymphadenopathy from different head and neck subsites like pharynx and thyroid, etc. The location or level of swelling may give hints towards the primary pathology from where it spreads. Aspiration cytology and radiology sometimes fail to confirm its malignant nature and the primary site of origin.
View Article and Find Full Text PDFActa Oncol
February 2025
Division of Ear Nose and Throat Diseases, Department of Clinical Sciences Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; Medical Unit Head, Neck, Lung, and Skin Cancer, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden.
Background And Purpose: Distinguishing branchial cleft cysts (BrCCs) from cystic metastases of human papillomavirus (HPV) positive tonsillar or base of tongue squamous cell carcinoma and cancer of unknown primary (CUP) is challenging. Fine needle aspiration cytology (FNAC) from cystic metastasis can be nonrepresentative, while reactive squamous cells from BrCC can be atypical. It is unclear whether benign characteristics and the absence of HPV-DNA in FNAC can enhance distinguishing BrCC from a cystic metastasis; therefore, we investigated here.
View Article and Find Full Text PDFOncol Lett
March 2025
Department of Scientific Affairs, Smart Health Tower, Sulaymaniyah, Kurdistan 46001, Republic of Iraq.
Papillary thyroid carcinoma (PTC) may deviate from the expected clinical course, posing diagnostic challenges to clinicians. The present study presents a case of longstanding swelling on the left side of the neck, initially diagnosed as a cystic lesion, which was later revealed to be metastatic thyroid cancer. A 21-year-old woman presented with a 3-year history of a neck mass that had initially been diagnosed as a likely hemangioma or branchial cleft cyst in 2019.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Department of oncology, Royal medical services, Jordan.
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