• Title/Summary/Keyword: 새열낭종

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Sonographic Findings of Second Branchial Cleft Cysts; Variable Appearances and Helpful Diagnostic Findings (제2새열 낭종의 초음파 소견;다양한 소견들과 진단에 도움이 될 만한 소견들)

  • Kim, Heung-Cheol;Lee, Jun-Ho;NamKung, Sook;Hong, Myung-Sun;Hwang, Im-Kyung
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.1
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    • pp.53-56
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    • 2008
  • Objectives:The purpose of this study was to evaluate the variable sonographic features in addition to classic findings and to find the helpful characteristic findings for diagnosis of branchial cleft cysts. Subjects and Methods:We retrospectively analyzed the sonographic finding of 16 histopathologically proven branchial cleft cysts. Assessment involved the following variables : location related to carotid artery, size, cyst wall, border, margin, shape, internal echotexture, post echoic enhancement, orientation of longitudinal axis relative to the long axis of the neck, and tapering edge. Results:Most branchial cleft cysts were seen as well defined(15/16), oval shape(13/16), smooth inner (12/16) and outer margin(13/16), and post echoic enhancement(16/16). Their diameter varied from 1 to 6cm (mean 3.3cm). The branchial cleft cysts showed variable internal echopatterns;hyperechogenicity or pseudosolid appearance(1/16), heterogeneous echogenicity(4/16) in addition to classic form of anechoic(5/16) or hypoechoic internal echogenicity(6/16). Longitudinal axis of most branchial cleft cysts were arranged in the direction of the long axis of the neck(13/16) and some branchial cleft cysts had tapering edge(6/16). Conclusion:If both atypical sonographic findings and location are showed, longitudinal arrangement of long axis and tapering edge of branchial cleft cysts are helpful findings for differential diagnosis.

Bilateral Second Branchial Cleft Fistulas (양측성 제2새열 낭종 치험 1예)

  • Lee, Hyung-Jun;Ahn, Jeong-Yoon;Kim, Young-Hyun;Choi, Jeong-Seok;Kang, Sung-Ho;Kim, Bo-Hyeng;Lim, Dae-Jun;Yu, Myng-Sang
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.1
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    • pp.88-91
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    • 2011
  • Our case presents unusual case of Bilateral second brachial cleft fistulas The brachiogenic anomalies usually arise from an imcomplete obliteration of branchial appartus are common congenital cervical anomalies. But Bilateral manifestation are very rare. We treated it with surgical excision and it has not occurred recurrence until now. So we report about its character and treatment of Bilateral second brachial cleft fistulas.

Non-Hodgkin's Lymphoma Mimicking Second Bronchial Cleft Cyst (제2새열 낭종으로 오인된 비호지킨 림프종 1예)

  • Park, Hyun-Woo;Kim, Jin-Pyeong;Won, Sung-Jun;Woo, Seung-Hoon
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.1
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    • pp.96-98
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    • 2011
  • Non-Hodgkin's Lymphoma(NHL) is a malignant tumor that is derived from the lymphatic system. The most common symptoms of NHL are painless lymph node enlargement. However, we should not diagnose NHL by only fragmentary clinical symptom and radiologic finding because of the various lymphoma characters. We have treated a patient with such preoperative findings of Branchial cleft cyst. However, the pathologic diagnosis of the surgical specimen was diffuse large b-cell lymphoma.

A Case of Second Branchial Cleft Cyst Presenting as a Parapharyngeal Cystic Mass (부인두강 낭성 종물로 발현된 제2새열 낭종 1례)

  • Kim, Byung Ha;Do, Nam Yong;Cho, Sung Il;Park, Jun Hee
    • Korean Journal of Bronchoesophagology
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    • v.18 no.2
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    • pp.60-63
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    • 2012
  • Second branchial cleft cysts are usually present as a fluctuant neck mass along the anterior border of the sternocleidomastoid muscle. When they are found in this typical location, accurate diagnosis on initial presentation is not difficult. Parapharyngeal presence of the branchial cleft cyst is very rare. We report a case of second branchial cleft cyst presenting as a parapharyngeal cystic mass in 51-year-old male. Before coming to our clinic, the patient had been diagnosed as parapharyngeal abscess, resulting in several attempts at removal. However, symptoms and parapharyngeal abscess recurred. We performed complete surgical resection of the parapharyngeal cystic mass via transoral approach only with oropharyngeal incision. The cystic mass was located in the parapharyngeal space and did not have tract-like structure. Histopathologic examination confirmed that the excised cyst was branchial cleft cyst. Patient discharged without any surgical complication and there was no evidence of recurrence for 2 years follow-up.

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