Bocchialini Gabriele, Bozzola Anna, Daleffe Francesco, Ferrari Luca, Castellani Andrea
Maxillo-Facial Surgery Unit, ASST Spedali Civili, Brescia, Italy.
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.
Int J Surg Case Rep. 2017 Nov 16;41:383-386. doi: 10.1016/j.ijscr.2017.10.065. eCollection 2017.
Branchial 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.
We describe a 32-year-old woman with a swelling on the right side of her neck and no pain during palpation or neck motion.
The 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.
Based on the images and the patient's symptoms, a surgical intervention was performed.
鳃裂囊肿是由鳃裂发育异常引起的良性病变。发生于颈部外侧区域的病例常被误诊，最初导致治疗不当。
我们描述了一名32岁女性，其颈部右侧有肿胀，触诊或颈部活动时无疼痛。
对患者进行了细针穿刺细胞学检查（FNAC）、超声和磁共振成像（MRI）扫描。MRI显示右侧颈部有一肿块，内容物呈高信号，边界清晰，无浸润周围结构的迹象，而FNAC发现有黄色、脓性液体、角化无核细胞、鳞状上皮和无定形碎片基质。
根据影像学检查结果和患者症状，进行了手术干预。
