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Unusually rapid development of a lateral neck mass: Diagnosis and treatment of a branchial cleft cyst. A case report
Affiliation:1. Maxillo-Facial Surgery Unit, ASST Spedali Civili, Brescia, Italy;2. Department of Molecular and Translational Medicine, Section of Pathology, University Spedali Civili Di Brescia, Spedali Civili di Brescia, Unità Operativa di Anatomia Patologica, Brescia, Italy;3. Maxillo-Facial Pediatric Surgery Unit, ASST Spedali Civili, Brescia, Italy
Abstract:IntroductionBranchial cleft cysts are benign lesions caused by anomalous development of the branchial cleft. Cases that arise in the lateral neck region are often misdiagnosed, resulting initially in inappropriate management.Case presentationWe describe a 32-year-old woman with a swelling on the right side of her neck and no pain during palpation or neck motion.DiscussionThe patient was evaluated using fine-needle aspiration cytology (FNAC), ultrasound, and magnetic resonance imaging (MRI) scans. The MRI showed a right-sided cervical mass with hyperintense content, well-defined margins, and no evidence of infiltration into surrounding structures, while FNAC found a yellow, pus-like fluid, keratinised anuclear cells, squamous epithelium, and a matrix of amorphous debris.ConclusionBased on the images and the patient’s symptoms, a surgical intervention was performed.
Keywords:Brachial cleft cyst  Cervical cyst  Neck mass
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