Two-year follow-up of a rare primary branchial cleft carcinoma: Case analysis and management insights

IF 4 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral oncology Pub Date : 2025-03-13 DOI:10.1016/j.oraloncology.2025.107215

Jiayu Shen , Xin Wei , Zhiyan Wu , Xi Li , Sichen Han , Xinliang Duan , Yao Yuan , Peng Liu , Zilin Wang

引用次数: 0

Abstract

Branchial cleft cysts are congenital anomalies of development, with the second branchial cleft cyst being the most common clinically. In extremely rare cases, branchial cleft cysts can undergo malignant transformation. Herein, we present a rare case of a 65-year-old male patient who had a painless neck mass on the left side for 6 months. Routine postoperative histopathological examination of the resected mass revealed branchial cleft carcinoma. We excluded the possibility of systemic metastasis through PET-CT and subsequently performed radical neck dissection. Routine follow-up revealed no recurrence after surgery. A PubMed search of the literature over the past 10 years yielded only 11 articles related to branchial cleft carcinoma. We hope this case will remind clinicians of the insidious nature of branchial cleft carcinoma and the importance of routine histopathological examination of seemingly benign surgical lesions.

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支裂囊肿是一种先天性发育异常，临床上最常见的是第二支裂囊肿。在极少数情况下，杈裂囊肿会发生恶变。在此，我们介绍一例罕见病例，患者为 65 岁男性，左侧颈部无痛性肿块 6 个月。术后对切除的肿块进行了常规组织病理学检查，结果显示为支裂癌。我们通过 PET-CT 排除了全身转移的可能性，随后进行了颈部根治性切除术。常规随访显示术后无复发。在PubMed上搜索过去10年的文献，只发现了11篇与腮裂癌相关的文章。我们希望这个病例能提醒临床医生支气管裂孔癌的隐匿性，以及对看似良性的手术病灶进行常规组织病理学检查的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral oncology 医学-牙科与口腔外科

CiteScore

8.70

自引率

10.40%

发文量

505

审稿时长

20 days

期刊介绍： Oral Oncology is an international interdisciplinary journal which publishes high quality original research, clinical trials and review articles, editorials, and commentaries relating to the etiopathogenesis, epidemiology, prevention, clinical features, diagnosis, treatment and management of patients with neoplasms in the head and neck. Oral Oncology is of interest to head and neck surgeons, radiation and medical oncologists, maxillo-facial surgeons, oto-rhino-laryngologists, plastic surgeons, pathologists, scientists, oral medical specialists, special care dentists, dental care professionals, general dental practitioners, public health physicians, palliative care physicians, nurses, radiologists, radiographers, dieticians, occupational therapists, speech and language therapists, nutritionists, clinical and health psychologists and counselors, professionals in end of life care, as well as others interested in these fields.