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[A bulky lateral cervical mass].

J Jarry¹, L Raynaud¹, P Buisson¹

¹Antenne chirurgicale, Role 2, Bat Lic, SP 85111, 00856 Port Boué, Cote d'Ivoire.

Medecine Et Sante Tropicales

|June 4, 2015

Summary

This summary is machine-generated.

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Branchial cysts are rare neck lesions that can resemble thyroid goiters, especially in endemic regions. A case highlights a second pharyngeal arch cyst misdiagnosed as a goiter in an Ivorian patient.

Area of Science:

Head and Neck Surgery
Endocrinology
Pediatric Surgery

Background:

Branchial cysts are congenital anomalies of the pharyngeal arches.
They are typically benign but can present as significant cervical masses.
Differential diagnosis of cervical masses is crucial, particularly in endemic goiter regions.

Observation:

An Ivorian patient presented with a large neck mass clinically suggestive of a thyroid goiter.
The endemic prevalence of goiter in the region contributed to the initial clinical suspicion.
Surgical exploration was performed to investigate the nature of the mass.

Findings:

The surgical findings revealed the mass to be a cyst of the second pharyngeal arch.
Histopathological examination confirmed the benign nature of the branchial cyst.

Keywords:

branchial cyst cervical sinus iodine deficiency thyroid goiter

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This diagnosis differed from the initial clinical suspicion of a thyroid goiter.

Implications:

This case underscores the importance of considering branchial cysts in the differential diagnosis of cervical masses, even in goiter-endemic areas.
Accurate preoperative diagnosis can prevent unnecessary thyroid surgery and guide appropriate management.
Awareness of rare cervical pathologies is essential for clinicians managing neck masses.