Ajur Shivashankar, Rajeev Reshma, Karadi R N
Otolaryngology - Head and Neck Surgery, Shri B.M. Patil Medical College, Hospital and Research Centre, Vijayapura, IND.
Cureus. 2024 Nov 27;16(11):e74630. doi: 10.7759/cureus.74630. eCollection 2024 Nov.
The most common congenital cervical masses are thyroglossal cysts followed by branchial cleft anomalies. However, their synchronous presentation is uncommon. A man in his early thirties visited our ear, nose, and throat (ENT) outpatient department (OPD) with complaints of a three-month history of right-side neck swelling. On examination, a 6 cm x 4 cm non-tender, oval-shaped cystic swelling was noted towards the right side of the neck, extending obliquely to the midline. Incidentally, another swelling measuring 2 cm x 1 cm towards the left paramedian of the neck was well-defined, non-tender, cystic in consistency, and moved with deglutition and protrusion of the tongue. Investigations such as fine needle aspiration cytology, ultrasonography, and MRI neck plain and contrast confirmed the diagnosis of a right-sided type 2 branchial cyst with a coexisting thyroglossal cyst. Right branchial cyst excision with Sistrunk procedure was done under general anesthesia. This rare occurrence requires the surgeon to know the embryological basis of such cervical anomalies. We herein report a case of unusual co-occurrence of thyroglossal cyst and branchial cyst in an adult male patient.
最常见的先天性颈部肿物是甲状舌管囊肿，其次是鳃裂畸形。然而，它们同时出现的情况并不常见。一名三十出头的男性因右侧颈部肿胀三个月前来我院耳鼻喉科门诊就诊。检查时，在颈部右侧发现一个6厘米×4厘米大小、无压痛的椭圆形囊性肿物，斜向延伸至中线。偶然发现，在颈部左旁正中还有一个2厘米×1厘米大小的肿物，边界清晰，无压痛，质地呈囊性，随吞咽和伸舌动作移动。细针穿刺细胞学检查、超声检查以及颈部MRI平扫加增强等检查确诊为右侧2型鳃裂囊肿合并甲状舌管囊肿。在全身麻醉下进行了右侧鳃裂囊肿切除及Sistrunk手术。这种罕见情况要求外科医生了解此类颈部畸形的胚胎学基础。我们在此报告一例成年男性患者甲状舌管囊肿和鳃裂囊肿罕见同时发生的病例。
