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J Craniomaxillofac Surg. 2018 Sep;46(9):1664-1668. doi: 10.1016/j.jcms.2018.06.004. Epub 2018 Jun 12.

Cystic masses of the lateral neck - Proposition of an algorithm for increased treatment efficiency.

Author information

1
Department of Otorhinolaryngology, (Head of Department: Prof. Dr. Petra Ambrosch), Head and Neck Surgery, Christian-Albrechts-University Kiel, Arnold-Heller-Str. 3, Building 27, D-24105, Kiel, Germany. Electronic address: Eva.koch@uksh.de.
2
Department of Otorhinolaryngology, (Head of Department: Prof. Dr. Petra Ambrosch), Head and Neck Surgery, Christian-Albrechts-University Kiel, Arnold-Heller-Str. 3, Building 27, D-24105, Kiel, Germany.

Abstract

Preoperative discrimination of solitary cervical branchial cleft cysts from cystic lymph node metastasis often is challenging. Surgical excision of the cystic formation and consecutive histopathological examination of tissue specimens are the only means resulting in the correct diagnosis. However, in case of malignancies surgery on the lateral neck prior to the definitive treatment is considered to negatively influence the patients' outcome. The rate of cystic lymph node metastasis in patients presenting with a lateral branchial cleft cyst, localization of the primary tumour and oncological outcome were investigated. Retrospective chart review of 131 patients presenting clinically with solitary lateral cervical cysts between. A malignant tumour was detected in 12 patients (9.2%). Malignant tumours were significantly more frequent in patients older than 40 years of age (22.0%; p = 0.0001). In patients older than 40 years of age with solitary lateral cervical cysts a malignancy should be presumed.

KEYWORDS:

Branchial cleft cyst; Cystic lymph node metastasis; Cystic neck mass; Fine needle aspiration cytology; HPV DNA

PMID:
29983308
DOI:
10.1016/j.jcms.2018.06.004
[Indexed for MEDLINE]

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