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Radiological appearance of primary branchial cleft cyst carcinoma

Published online by Cambridge University Press:  29 June 2007

Ki Hwan Hong*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonbuk National University Medical School, Institute for Medical Sciences, Chonju, Chonbuk, 560-182, Korea.
Woo Sung Moon
Affiliation:
Department of PathologyChonbuk National University Medical School, Institute for Medical Sciences, Chonju, Chonbuk, 560-182, Korea.
Gyung Ho Chung
Affiliation:
Department of Radiology, Chonbuk National University Medical School, Institute for Medical Sciences, Chonju, Chonbuk, 560-182, Korea.
*
Address for correspondence: Ki Hwan Hong, M.D., Department of Otolaryngology – Head and Neck Surgery, Chonbuk National University Medical School, Chonju, Chonbuk, 560-182, Republic of Korea. Fax: 82 652 250 1986 e-mail: khhong@moak.chonbuk.ac.kr

Abstract

The hypothesis that primary branchiogenic carcinoma originates from a branchial cleft cyst is controversial. Many reports regarding primary branchiogenic carcinoma failed to provide sufficient evidence to distinguish it from metastatic cervical lymph nodes arising from previously unrecognized primary tumours. The radiological appearance of malignant transformation from a branchial cleft cyst has not been reported previously in the English literature. A radiological study is presented that confirms the primary branchiogenic carcinoma. The management in suspected cases would be wide surgical excision of the tumour including ipsilateral radical neck dissection followed by radiation therapy.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1999

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