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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.
Rationale:
Branchial cleft cysts are benign lesions that result from developmental defects arising from primitive branchial arches, cleft, and pouches. Xanthogranulomatous inflammation (XGI) is a mass forming lesion and its association with branchial cleft cyst is rare.
Patient Concerns:
A 23-year-old male presented with a soft, partially mobile, nontender swelling on the left side of submandibular area. His main concern was removal of pathology.
Diagnosis:
Computed tomography scan showed a well-circumscribed rounded cystic lesion suggestive of 2nd branchial cleft cyst, which was histopathologically confirmed as branchial cleft cyst with XGI.
Treatment:
Complete surgical excision was done under general anaesthesia and the lesion was removed in toto.
Outcomes:
Patient's postoperative course was uneventful and he was discharged from the hospital on the 4th postoperative day.
Take-Away Lessons:
Diagnosis of branchial anomalies should always be considered while dealing with lateral neck swellings and XGI associated with branchial cleft cyst should be carefully investigated and treated.
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