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Updated: Sep 18, 2025

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
[Summary of clinical experience of 9 children with anterior cervical enterogenic cysts]
Huashan Zhao1, Shumin Zhao2, Yunpeng Zhai1
1Children's Hospital Affiliated to Shandong University(Jinan Children's Hospital Jinan)Department of Thoracic and Oncological Surgery,Jinan,250022,China.
Insights
Anterior cervical enterogenic cysts in children are rare and often misdiagnosed, requiring surgical resection for effective treatment. Comprehensive evaluation is crucial due to potential coexisting anomalies.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Pathology
Context:
- Anterior cervical enterogenic cysts are rare congenital anomalies in children.
- These cysts can be challenging to diagnose preoperatively.
- Associated anomalies may complicate the clinical presentation.
Purpose:
- To summarize the clinical characteristics of pediatric anterior cervical enterogenic cysts.
- To describe the surgical management and outcomes for these rare lesions.
- To highlight diagnostic challenges and the importance of pathological confirmation.
Summary:
- This study retrospectively analyzed 9 pediatric patients with anterior cervical enterogenic cysts (including bronchogenic and esophagogenic subtypes).
- Patients aged 14 days to 10 years presented with neck masses; diagnosis often relied on pathology.
- All patients underwent surgical resection with good recovery and no recurrence.
Impact:
- Emphasizes the rarity and diagnostic difficulty of pediatric anterior cervical enterogenic cysts.
- Underscores the necessity of surgical intervention for definitive treatment.
- Highlights the importance of considering associated anomalies in pediatric neck masses.
Abstract:
Objective:To summarized the clinical characteristics and surgical management of anterior cervical enterogenic in pediatric patients. Methods:Clinical data were retrospectively analyzed for 9 children with pathologically confirmed anterior cervical enterogenic cysts(including bronchogenic and esophagogenic subtypes) treated at the Children's Hospital of Shandong University(Jinan Children's Hospital) between January 1, 2020, and November 30, 2023. Results:Nine patients(6 males and 3 females) were involved in this study, aged 14 days to 10 years old. There were 4 cases on the left side, 4 on the right side, and 1 in the middle of the neck. All patients presented with neck masses. The patients were followed up from 3 months to 35 months after surgery and recovered well, with no recurrence or complications observed. Conclusion:①Anterior intestinal cysts in children are rare and easy to be misdiagnosed. ②Concurrent branchial cleft fistulas or associated anomalies may coexist, necessitating comprehensive evaluation. ③Preoperative diagnosis is not easy and mainly depends on pathological diagnosis. ④The treatment of anterior cervical enterogenic cysts in children is surgical resection of the lesion.
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