Journal of Korean Academy of Oral and Maxillofacial Radiology (치과방사선)
- Volume 23 Issue 2
- /
- Pages.365-372
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- 1993
- /
- 1225-049X(pISSN)
A CASE REPORT OF BRANCHIAL CLEFT CYST IN THE NECK
경부에 발생한 새열낭 (branchial cleft cyst)의 증례보고
- Lee Young-Mi (Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Seoul National University) ;
-
Choi Soon-Chul
(Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Seoul National University)
;
- Park Tae-Won (Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Seoul National University) ;
- You Dong-Soo (Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Seoul National University)
- 이영미 (서울대학교 치과대학 구강악안면방사선학 교실) ;
-
최순철
(서울대학교 치과대학 구강악안면방사선학 교실)
;
- 박태원 (서울대학교 치과대학 구강악안면방사선학 교실) ;
- 유동수 (서울대학교 치과대학 구강악안면방사선학 교실)
- Published : 1993.12.01
Abstract
Branchial cleft cyst is the most common lateral neck cyst; the vast majority are of the second branchial cleft origin. This presumably reflects the greater depth and longer persistence of the second cleft, compared with the first, third, and fourth clefts. We experienced a 49-year-old male whose chief complaint was a abnormal mass of the left parotid gland area and neck. As a result of careful analysis of clinical, radiological, and histopathological findings, we diagnosed it as a second branchial cleft cyst in the neck and obtained results as follows: 1. In clinical examination, there was a 10×15㎝ sized, fluctuant painful mass in the left neck and parotid area. 2. In radiographic examination, a low echogenic mass with internal cystic change in the inferior parotid gland area was noted sonographically. Computed tomograph showed a 3×4㎝ sized, well-defined cystic mass with heterogenous solid component in the anterior border of sternocleidomastoid muscle. MRI revealed 5×6㎝ sized, well-marginated multi separated mass in the same area. 3. In histopathological examination, lining of cyst was stratified squamous epithelium with typical lymph node pattern and inflammatory cell infiltration.