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Laryngeal cancer involving a branchial cleft cyst
Background Benign secondary neck lesions in the setting of laryngeal cancer have been described, but not with branchial cleft cysts. This article describes a branchial cleft cyst in a laryngectomy/neck dissection specimen. Methods and Results A 44‐year‐old woman presented to our emergency department...
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Published in: | Head & neck 2011-12, Vol.33 (12), p.1796-1799 |
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container_title | Head & neck |
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creator | Ida, Jonathan B. Stark, Matthew W. Xiang, Zhenggong Fazekas‐May, Mary M. Smith, Russell B. |
description | Background
Benign secondary neck lesions in the setting of laryngeal cancer have been described, but not with branchial cleft cysts. This article describes a branchial cleft cyst in a laryngectomy/neck dissection specimen.
Methods and Results
A 44‐year‐old woman presented to our emergency department with an obstructing laryngeal tumor that was staged as a T4N0M0 squamous cell cancer on the basis of clinical and radiographic findings. After laryngectomy with bilateral neck dissections, the neck specimen contained a right‐sided branchial cleft cyst, which was directly invaded by tumor. In addition, the location of the cyst relative to the larynx suggested that this was a third branchial cleft cyst.
Conclusion
This is the first report of a laryngeal carcinoma invading a branchial cleft cyst. Staging discrepancies may result from concurrent head and neck lesions, altering treatment plans, or changing the prognosis for the patient. Lesions such as this are nearly impossible to diagnose preoperatively, and a high index of suspicion for advanced cancer should be maintained. © 2010 Wiley Periodicals, Inc. Head Neck, 2010 |
doi_str_mv | 10.1002/hed.21476 |
format | article |
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Benign secondary neck lesions in the setting of laryngeal cancer have been described, but not with branchial cleft cysts. This article describes a branchial cleft cyst in a laryngectomy/neck dissection specimen.
Methods and Results
A 44‐year‐old woman presented to our emergency department with an obstructing laryngeal tumor that was staged as a T4N0M0 squamous cell cancer on the basis of clinical and radiographic findings. After laryngectomy with bilateral neck dissections, the neck specimen contained a right‐sided branchial cleft cyst, which was directly invaded by tumor. In addition, the location of the cyst relative to the larynx suggested that this was a third branchial cleft cyst.
Conclusion
This is the first report of a laryngeal carcinoma invading a branchial cleft cyst. Staging discrepancies may result from concurrent head and neck lesions, altering treatment plans, or changing the prognosis for the patient. Lesions such as this are nearly impossible to diagnose preoperatively, and a high index of suspicion for advanced cancer should be maintained. © 2010 Wiley Periodicals, Inc. Head Neck, 2010</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.21476</identifier><identifier>PMID: 20629072</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Biological and medical sciences ; Branchial cleft cyst ; Branchioma - pathology ; Branchioma - surgery ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; concomitant lesion ; extralaryngeal spread ; Female ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - surgery ; Humans ; laryngeal cancer ; Laryngeal Neoplasms - pathology ; Laryngeal Neoplasms - surgery ; Laryngectomy ; Medical sciences ; Neck Dissection ; Neoplasms, Multiple Primary - pathology ; Otorhinolaryngology. Stomatology ; staging ; Tumors ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>Head & neck, 2011-12, Vol.33 (12), p.1796-1799</ispartof><rights>Copyright © 2010 Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3546-e40bcf223af11a3abaddd1e3cc6382793761f18dc196ae905a81d8b8d7a941363</citedby><cites>FETCH-LOGICAL-c3546-e40bcf223af11a3abaddd1e3cc6382793761f18dc196ae905a81d8b8d7a941363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24770484$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20629072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ida, Jonathan B.</creatorcontrib><creatorcontrib>Stark, Matthew W.</creatorcontrib><creatorcontrib>Xiang, Zhenggong</creatorcontrib><creatorcontrib>Fazekas‐May, Mary M.</creatorcontrib><creatorcontrib>Smith, Russell B.</creatorcontrib><title>Laryngeal cancer involving a branchial cleft cyst</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Benign secondary neck lesions in the setting of laryngeal cancer have been described, but not with branchial cleft cysts. This article describes a branchial cleft cyst in a laryngectomy/neck dissection specimen.
Methods and Results
A 44‐year‐old woman presented to our emergency department with an obstructing laryngeal tumor that was staged as a T4N0M0 squamous cell cancer on the basis of clinical and radiographic findings. After laryngectomy with bilateral neck dissections, the neck specimen contained a right‐sided branchial cleft cyst, which was directly invaded by tumor. In addition, the location of the cyst relative to the larynx suggested that this was a third branchial cleft cyst.
Conclusion
This is the first report of a laryngeal carcinoma invading a branchial cleft cyst. Staging discrepancies may result from concurrent head and neck lesions, altering treatment plans, or changing the prognosis for the patient. Lesions such as this are nearly impossible to diagnose preoperatively, and a high index of suspicion for advanced cancer should be maintained. © 2010 Wiley Periodicals, Inc. Head Neck, 2010</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Branchial cleft cyst</subject><subject>Branchioma - pathology</subject><subject>Branchioma - surgery</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>concomitant lesion</subject><subject>extralaryngeal spread</subject><subject>Female</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>laryngeal cancer</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Laryngectomy</subject><subject>Medical sciences</subject><subject>Neck Dissection</subject><subject>Neoplasms, Multiple Primary - pathology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>staging</subject><subject>Tumors</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp1kMFOwzAMhiMEYjA48AKoF4Q4dLOTNGmPaAyGNIkLnKM0TbeirB3NNrS3J6WbOHGyZX_6LX-E3CCMEICOl7YYUeRSnJALhEzGwLg87XrOYgaSD8il958AwASn52RAQdAMJL0gONftvl5Y7SKja2PbqKp3jdtV9SLSUd6G2bLqls6Wm8js_eaKnJXaeXt9qEPy8Tx9n8zi-dvL6-RxHhuWcBFbDrkpKWW6RNRM57ooCrTMGMFSKjMmBZaYFgYzoW0GiU6xSPO0kDrjyAQbkvs-d902X1vrN2pVeWOd07Vttl5lwAETZEkgH3rStI33rS3Vuq1W4S-FoDpBKghSv4ICe3tI3earMD2SRyMBuDsA2hvtys5A5f84LiXwlAdu3HPflbP7_y-q2fSpP_0Dl7J6wQ</recordid><startdate>201112</startdate><enddate>201112</enddate><creator>Ida, Jonathan B.</creator><creator>Stark, Matthew W.</creator><creator>Xiang, Zhenggong</creator><creator>Fazekas‐May, Mary M.</creator><creator>Smith, Russell B.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201112</creationdate><title>Laryngeal cancer involving a branchial cleft cyst</title><author>Ida, Jonathan B. ; Stark, Matthew W. ; Xiang, Zhenggong ; Fazekas‐May, Mary M. ; Smith, Russell B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3546-e40bcf223af11a3abaddd1e3cc6382793761f18dc196ae905a81d8b8d7a941363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Branchial cleft cyst</topic><topic>Branchioma - pathology</topic><topic>Branchioma - surgery</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>concomitant lesion</topic><topic>extralaryngeal spread</topic><topic>Female</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>laryngeal cancer</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Laryngectomy</topic><topic>Medical sciences</topic><topic>Neck Dissection</topic><topic>Neoplasms, Multiple Primary - pathology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>staging</topic><topic>Tumors</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ida, Jonathan B.</creatorcontrib><creatorcontrib>Stark, Matthew W.</creatorcontrib><creatorcontrib>Xiang, Zhenggong</creatorcontrib><creatorcontrib>Fazekas‐May, Mary M.</creatorcontrib><creatorcontrib>Smith, Russell B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ida, Jonathan B.</au><au>Stark, Matthew W.</au><au>Xiang, Zhenggong</au><au>Fazekas‐May, Mary M.</au><au>Smith, Russell B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laryngeal cancer involving a branchial cleft cyst</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2011-12</date><risdate>2011</risdate><volume>33</volume><issue>12</issue><spage>1796</spage><epage>1799</epage><pages>1796-1799</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
Benign secondary neck lesions in the setting of laryngeal cancer have been described, but not with branchial cleft cysts. This article describes a branchial cleft cyst in a laryngectomy/neck dissection specimen.
Methods and Results
A 44‐year‐old woman presented to our emergency department with an obstructing laryngeal tumor that was staged as a T4N0M0 squamous cell cancer on the basis of clinical and radiographic findings. After laryngectomy with bilateral neck dissections, the neck specimen contained a right‐sided branchial cleft cyst, which was directly invaded by tumor. In addition, the location of the cyst relative to the larynx suggested that this was a third branchial cleft cyst.
Conclusion
This is the first report of a laryngeal carcinoma invading a branchial cleft cyst. Staging discrepancies may result from concurrent head and neck lesions, altering treatment plans, or changing the prognosis for the patient. Lesions such as this are nearly impossible to diagnose preoperatively, and a high index of suspicion for advanced cancer should be maintained. © 2010 Wiley Periodicals, Inc. Head Neck, 2010</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20629072</pmid><doi>10.1002/hed.21476</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Branchial cleft cyst Branchioma - pathology Branchioma - surgery Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery concomitant lesion extralaryngeal spread Female Head and Neck Neoplasms - pathology Head and Neck Neoplasms - surgery Humans laryngeal cancer Laryngeal Neoplasms - pathology Laryngeal Neoplasms - surgery Laryngectomy Medical sciences Neck Dissection Neoplasms, Multiple Primary - pathology Otorhinolaryngology. Stomatology staging Tumors Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
title | Laryngeal cancer involving a branchial cleft cyst |
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