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Branchial Cleft Cyst Associated with Xanthogranulomatous Inflammation - An Unusual Case
Himani-Tiwari Chaturvedi1, Chandrashekher Chaturvedi2
1Department of Oral Pathology, Dharmsinh Desai University, Nadiad, Gujarat, India.
Annals of Maxillofacial Surgery
|October 6, 2022
Summary
This case report details a rare association between a branchial cleft cyst and xanthogranulomatous inflammation (XGI) in a young male. Surgical excision confirmed the diagnosis, highlighting the importance of considering these conditions in lateral neck swellings.
Area of Science:
- Head and Neck Surgery
- Developmental Biology
- Pathology
Background:
- Branchial cleft cysts are congenital anomalies stemming from primitive branchial structures.
- Xanthogranulomatous inflammation (XGI) is a rare, mass-forming inflammatory condition.
- The co-occurrence of branchial cleft cysts and XGI is exceptionally uncommon.
Observation:
- A 23-year-old male presented with a left submandibular swelling.
- Imaging revealed a cystic lesion consistent with a second branchial cleft cyst.
- Histopathology confirmed the diagnosis as branchial cleft cyst with associated XGI.
Findings:
- Complete surgical excision of the lesion was successfully performed.
- The patient experienced an uncomplicated postoperative recovery.
- The rare combination of branchial cleft cyst and XGI was definitively diagnosed.
Implications:
- Lateral neck swellings warrant consideration of branchial anomalies.
- Careful investigation and management are crucial for XGI associated with branchial cleft cysts.
- This case contributes to understanding rare pathological associations in head and neck masses.
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