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Carcinoma originating from branchiogenic cleft cyst – case report

Andrea Dekanić orcid.org/0000-0003-0625-7483 ; Zavod za patologiju, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Ante Lučev ; Klinika za maksilofacijalnu kirurgiju, KBC Rijeka, Rijeka
Christophe Štemberger ; Centar za kliničku citologiju, KBC Rijeka, Rijeka
Gordana Zamolo ; Zavod za patologiju, Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Nives Jonjić orcid.org/0000-0003-2995-0766 ; Zavod za patologiju, Medicinski fakultet Sveučilišta u Rijeci, Rijeka

Abstract

Aim: To show a rare case of a patient with carcinoma originating from a lateral con- genital branchiogenic cleft cyst, describe the diagnostic pathway, treatment and the final diagnosis confirmed by the pathohistological analysis. Case report: An 80-year-old patient came to the Department of Maxillofacial Surgery, for diagnosis and treatment of a painless, slow growing mass on the left side of the neck, below the lower jaw. Ultrasound examination indicated a hypoechogenic mass filled with yellowish content. The content was aspirated and cytological smear showed squamous cell carcinoma. Furthermore, after surgery, the pathohistological analysis of the surgical material indicated branhiogenic carcinoma originating from a congenital branchiogenic cleft cyst. Conclusion: Congenital branchiogenic cysts are uncommon and carcinoma occurrence within cysts is even rarer. Our case emphasizes the importance of recognizing branhiogenic carcinoma arising within the cystic lesions of the neck. Diagnosis is based on exclusion in collaboration with clinicians, and based on the literature describing the criteria for the diagnosis of branhiogenic carcinoma.

Keywords

branchial cyst; differential diagnosis; squamous cell carcinoma

Hrčak ID:

121903

URI

https://hrcak.srce.hr/121903

Publication date:

2.6.2014.

Article data in other languages: croatian

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