• Title/Summary/Keyword: Lateral neck Cyst

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Lateral Neck Cyst as the Initial Presentation of Papillary Thyroid Carcinoma (측경부 낭종으로 발현된 유두상 갑상선암)

  • Park Cheong-Soo;Lee Won-Hung;Kim Choon-Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.4 no.1
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    • pp.53-58
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    • 1988
  • We have experienced 3 cases of papillary carcinoma of the thyroid gland seen as lateral neck cyst, Usually cystic lesions of the neck have been considered as benign lesions from clinical viewpoint. The usual differential diagnosis includes branchial cleft cyst, cystic hygroma, dermoid cyst, cold abscess(tuberculous lymphadenitis) and cavitating squamous cell carcinoma. A lateral neck cyst as the sole presenting complaint of the papillary thyroid carcinoma is very rare. Preoperative diagnosis of lateral neck cyst is often diagnostic dilemma. Fine-needle aspiration cytology can be helpful in detecting the cancer cells and in demonstrating the nature of the fluid component of the lateral neck cyst. Presence of brown murky fluid from the aspirated fluid is highly suggestive of thyroid carcinoma. The thyroid scans and B-mode ultrasonography mayor may not be helpful to detect the primary focus of the thyroid gland. We suggest that a patient with a lateral neck cyst in adult age group should be considered to be a possibility of underlying thyroid carcinoma presanting as lateral neck cyst.

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A CASE OF CYSTIC PAPILLARY CARCINOMA OF THYROID GLAND ASSOCIATED WITH LATERAL NECK CYST (외측경부낭종을 동반한 갑상선유두상암종 1례)

  • 임상철;박호영;최정섭
    • Korean Journal of Bronchoesophagology
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    • v.2 no.2
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    • pp.268-273
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    • 1996
  • Cystic lesions of the neck are frequently encountered on clinical basis. The usual differential diagnosis includes branchial cleft, cystic hygroma, dermoid cyst, tuberculous lymphadenitis, benign detached goiterous thyroid cyst, and Cavitation epidermoid carcinoma. Most of cysts are benign and malignant cysts are rare. The most common form of cystic malignancy in the lateral neck is cystic degeneration of epidermoid carcinoma metastatic to cervical lymph nodes. Cystic neoplasia may result from malingnant changes occurring within the wall of a previously benign cyst Complete head and neck examination on the primary focus is important Especially, when palpation of thyroid is negative, thyroid carcinoma is easily overlooked. Recently, we experienced papillary carcinoma of the thyroid seen as lateral neck cyst. So we report this case with review of literatures.

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A Case of Bronchogenic Cyst Presenting as Lateral Neck Mass (측경부 종괴로 표현된 기관지원성 낭종 1례)

  • Sung, Eui Suk;Ji, Yong Bae;Kim, Kyung Rae;Park, Chan Kum;Tae, Kyung
    • Korean Journal of Bronchoesophagology
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    • v.17 no.2
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    • pp.120-123
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    • 2011
  • A bronchogenic cyst is an uncommon benign congenital anomaly of the primitive ventral forgut which was generally encountered within the mediastinum and detected in pediatric patients. It is rarely detected in adult population as a lateral neck mass. We have recently experienced one case of bronchogenic cyst as a left lateral neck mass in a 49-year-old male. He complaints of a $2{\times}1$ cm sized, soft, non tender, and movable mass on the low lateral neck. The surgical excision of mass was performed and the final histopathologic diagnosis was a bronchogenic cyst. Here, we report this case with the review of literatures.

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Metastatic Papillary Thyroid Carcinoma Masquerading as Type II Branchial Cleft Cyst : A Case Report (제2형 새열 낭종으로 오인된 전이성 갑상선 유두상 암종 1예)

  • Kim, Seung-Woo;Kim, Jung-Min;Kim, Choon-Dong
    • Korean Journal of Head & Neck Oncology
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    • v.28 no.1
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    • pp.34-36
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    • 2012
  • In case of lateral cervical cystic lesions, the differential diagnoses include branchial cleft cyst(BCC), teratoma, dermoid, hemangioma and lymphangioma etc. But sometimes metastatic cystic lymph nodes may exist in lateral neck. In such circumstance, the primary lesions are known to stem from oropharynx, nasopharynx, salivary and thyroid gland etc. A-66-year-old-male came to our clinic, due to the lateral cervical mass for 5 years. We performed the neck CT, sonography and sono-guided FNAC. He was initially diagnosed with the benign cyst such as BCC. We performed the excisional biopsy on left level II, but the pathologic report was revealed as metastatic papillary thyroid carcinoma(PTC). And then he received the total thyroidectomy with neck dissection. The final diagnosis was cystic metastasis from PTC. We learn a valuable lesson form this case in the following. Even if the simple cervical cyst is presumed with radiology and clinical pattern, more careful considerations on the basis of history and radiologic findings are mandatory.

A Case of Fourth Branchial Cleft Cyst (제 4 새성 기형 1예)

  • Park Il-Seok;Chang Jai-Hyuk
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.53-56
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    • 2005
  • The branchial anomaly is a lateral neck mass commonly seen by otolaryngologists. Depending on its anatomic location, branchial anomaly can be classified into first, second, third and fourth. The fourth branchial cleft anomaly is very rare entity and until now, only 35cases have been reported worldwide. It may present as neck cyst, recurrent neck abscess, thyroiditis. Combined with barium swallow esophagogram and computed tomography scan can aid in diagnosis of this rare disease entity. Complete excision of the entire epithelial tract combined with ipsilateral thyroid lobectomy remains the mainstay of treatment. Authors experienced a case of lateral neck mass which was anatomically presumed to be the fourth branchial cleft cyst. We report this case with the related literature.

A Case of Cystic Lymph Node Metastasis of Tonsil Cancer Mimicking 2nd Branchial Cleft Cyst (제2열 새열 낭종으로 오인되었던 편도암의 낭성 경부 임파절 전이 1예)

  • Park, Seung Bum;Noh, Minh Ho;Ban, Won Woo;Ban, Myung Jin;Park, Jae Hong
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.86-90
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    • 2015
  • Cystic lymph node metastasis of head and neck squamous cell carcinoma(HNSCC) which presumed to be mainly originated from oropharynx including Waldeyer's ring may present as a benign cystic mass on lateral neck such as branchial cleft cyst. Branchial cleft cyst is one of the most common lateral neck cystic mass which may result in regional infection or lymph adenopathy. Many of previously reported literatures showed the incidence of cystic lymph node metastasis from oropharynx including Waldeyer's ring. Preoperative imaging studies and fine needle aspiration cytology cannot provide the accurate results until excision of cystic mass for the diagnostic or therapeutic purpose. Recently, we experienced the rare case of cystic lymph node metastasis from ipsilateral tonsil, which mimicked infected 2nd branchial cleft cyst. Thus, we reported our experience with presentation of case and review of literatures.

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Intrathyroid Thyroglossal Duct Cyst Extending into the Mediastinum: A Case Report and Review of Literature (종격동내 위치한 갑상선 내 갑상설관 낭종: 증례 보고 및 문헌 고찰)

  • Lee, Chan Mi;Hong, Yong Tae
    • Korean Journal of Head & Neck Oncology
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    • v.38 no.1
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    • pp.65-68
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    • 2022
  • Thyroglossal duct cyst (TGDC) is the most common congenital cyst in the neck and usually presents in children. It is most commonly located at the infrahyoid level. However, intrathyroid TGDC in the adult is extremely rare and its pathogenesis remains unclear. Curiously, an intrathyroid TGDC was found on the lateral aspect of the inferior pole of the thyroid gland. Given the unique position of this lesion, and its capacity to stimulate other nodules in the thyroid, it should be differentiated from other lateral neck masses, such as: thymic cysts, branchial cleft cysts, cystic hygroma, lipomas, lymphadenopathies, cervical teratomas, and lymphomas. In this case, a separate cystic mass was found in the right inferior pole of the thyroid gland and extended to the mediastinum. We confirmed it as TGDC by pathology and histological examination.

A Case of The Fourth Branchial Cleft Cyst (제4새 성기형으로 추정되는 낭종 1례)

  • Lee Jung Kyu;Jung Seung Won;Baek Seung Kuk;Jung Kwang Yoon
    • Korean Journal of Bronchoesophagology
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    • v.10 no.1 s.19
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    • pp.51-54
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    • 2004
  • The fourth branchial clef cyst is very rare entity ana only 35 cases have been reported worldwide. There have been some controversial attempts to prove its anatomical route through embryological background. However some reports even suggested that it might be impossible to prove its entity anatomically Recently, reports are coming out on the diagnostic approaches using anatomical pathway. We experienced in 45 years old woman, one case of lateral cystic neck mass which were anatomically presumed to be fourth brachial cleft cyst.

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A Case of Secondary Trigeminal Neuralgia Caused by Infected Postoperative Maxillary Cyst (술후상악낭종 환자에서 삼차신경통이 유발된 증례 1례)

  • Lee, Sang Min;Sung, Han Kyung;Kang, Ju Chang;Kim, Hong Joong
    • Journal of Rhinology
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    • v.25 no.2
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    • pp.114-117
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    • 2018
  • Postoperative maxillary cyst (POMC) is relatively common complication among patients who underwent Caldwell-Luc surgery. Patients with POMC usually have no symptoms, although cyst extension can result in bone destruction or cystic infection with pain. The trigeminal nerve consists of the ophthalmic nerve, maxillary nerve, and mandibular nerve. Among these branches, the maxillary nerve runs to the lateral and frontal sides of the maxillary sinus wall. POMC can rarely lead to trigeminal neuropathy caused by cyst enlargement that compresses some branches of the trigeminal nerve. Recently, we experienced a case with trigeminal neuralgia due to POMC. The patient was successfully treated with inferior meatal antrostomy. We report this rare case with a literature review.

Two Cases of Papillary Carcinoma Arising from Thyroglossal Duct Cyst (TGDC) (갑상설관낭종에서 기원한 유두상 암종 2례)

  • Jeong, Yong Jun;Yum, Gun Hwee;Kwon, Soon Young;Oh, Kyoung Ho
    • International journal of thyroidology
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    • v.11 no.2
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    • pp.189-193
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    • 2018
  • A thyroglossal duct cyst (TGDC) is the most common congenital anomaly of the neck. However, carcinoma arising from TGDC is extremely rare. We report 2 cases of TGDC carcinoma. In the first case, a 21-year-old male patient complained of an anterior cervical mass; computed tomography (CT) and sonography revealed cystic mass that was suspected to be a TGDC. Sistrunk operation was performed. Papillary carcinoma was confirmed in pathologic examination. Additionally, he underwent total thyroidectomy and central neck dissection. After radioactive iodine ablation (RAI) was performed. In the second case, a 28-year-old male patient visited our out-patient department complaining of submental mass. He had already been diagnosed TGDC carcinoma 13 years ago and had undergone Sistrunk operation and total thyroidectomy. Malignancy was confirmed using fine-needle aspiration; thus, lateral neck dissection was performed and following this, he underwent RAI. Till date, no evidence of recurrence has been observed in these patients.