BibTex RIS Kaynak Göster

Branchial cleft cyst presenting as metastatic squamous carcinoma in fine needle aspirates: report of three case

Yıl 2013, Cilt: 3 Sayı: 1, 40 - 43, 01.03.2013
https://doi.org/10.2399/jmu.2013001007

Öz

A subset of metastatic squamous cell carcinoma of the head and neck presents as cystic masses in the neck. Often, distinguishing between these cystic metastases of squamous cell carcinoma from benign cystic neck lesions, such as branchial cleft cyst, can be very challenging. Squamous lining cells in benign cystic lesions may exhibit significant cytologic atypia, raising concern for squamous cell carcinoma. The challenge in distinguishing benign from malignant cystic squamous lesions of the neck is made more difficult when evaluating fine needle aspiration biopsies given the limited sample size. Herein, three patients with branchial cleft cysts are presented. All were initially diagnosed as metastatic squamous cell carcinomas. The importance of interpretation of fine needle aspiration cytology by an experienced cytologist is emphasized to avoid the possibility of excising metastatic squamous cell carcinomas, which could lead to unnecessary surgical procedures such as radical neck dissection.

Kaynakça

  • van den Brekel MW, Castelijns JA, Stel HV, et al. Occult metastatic neck disease: detection with US and US guided fine- needle aspiration cytology. Radiology 1991;180:457-61.
  • Engzell U, Zajicek J. Aspiration biopsy of tumors of the neck. I. Aspiration biopsy and cytologic findings in 100 cases of congen- ital cysts. Acta Cytol 1970;14:51-7.
  • Burgess KL, Hartwick RW, Bedard YC. Metastatic squamous carcinoma presenting as a neck cyst. Differential diagnosis from inflamed branchial cleft cyst in fine needle aspirates. Acta Cytol 1993;37:494-8.
  • Thompson HY, Fulmer RP, Schnadig VJ. Metastatic squamous cell carcinoma of the tonsil presenting as multiple cystic neck masses. Report of a case with fine needle aspiration findings. Acta Cytol 1994;38:605-7.
  • Engzell U, Jakobsson PA, Sigurdson A, Zajicek J. Aspiration biop- sy of metastatic carcinoma in lymph nodes of the neck. A review of 1101 consecutive cases. Acta Otolaryngol 1971;72:138-47.
  • Granstrom G, Edstrom S. The relationship between cervical cysts and tonsillar carcinoma in adults. J Oral Maxillofac Surg 1989;47:16-20.
  • Warson F, Blommaert D, De Roy G. Inflamed branchial cyst: a potential pitfall in aspiration cytology. Acta Cytol 1986;30:201-2.
  • Burgess KL, Hartwick RWJ, Bedard YC. Metastatic squamous carcinoma presenting as a neck cyst. Differential diagnosis from inflamed branchial cysts. Acta Cytol 1993;37:494-8.
  • Granstrom G, Edstrom S. The relationship between cervical cysts and tonsillar carcinoma in adults. J Oral Maxillofac Surg 1989;47:16-20.
  • Ahuja A, Ng CF, King W, Metreweli C. Solitary cystic nodal metastasis from occult papillary carcinoma of the thyroid mim- icking a branchial cyst: a potential pitfall. Clin Radiol 1998;53:61-3.
  • Ahn JY, Kang SY, Lee CH, Yoon PH, Lee KS. Parapharyngeal branchial cleft cyst extending to the skull base: a lateral transzy- gomatic-transtemporal approach to the parapharyngeal space. Neurosurg Rev 2005;28:73-6.
  • Takita M, Hamaguchi H, Lin YT, et al. Lymphoepithelial cyst of the upper neck: report of a case. Osaka Daigaku Shigaku Zasshi 1989;34:431-7.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Songu M, Aslan H, Baflo¤lu S, Öztürkcan S, Etit D. Branchial cleft cyst presenting as metastatic squamous carcinoma in fine
  • needle aspirates: report of three cases. J Med Updates 2013;3(1):40-43.

İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu

Yıl 2013, Cilt: 3 Sayı: 1, 40 - 43, 01.03.2013
https://doi.org/10.2399/jmu.2013001007

Öz

Baş ve boynun metastatik skuamöz karsinomunun bir alt kümesi boyunda kistik kitlelerle ortaya çıkmaktadır. Sıklıkla yassı epitel hücreli karsinomun bu kistik metastazlarını brankiyal yarık kist gibi iyi huylu kistik boyun lezyonlarından ayırt etmek çok zor olabilmektedir. İyi huylu kistik lezyonların iç yüzeyini kaplayan yassı epitel hücreler önemli hücre atipisi gösterebilerek yassı epitel hücreli karsinomdan kaygılanılmasına neden olurlar. Kısıtlı sayıda numune alınan ince iğne biyopsilerini değerlendirirken boynun iyi ve kötü huylu kistik skuamöz lezyonları arasında ayrım yapmak daha çok zorlaşmaktadır. Burada brankiyal yarık kistleri olan üç hasta sunulmaktadır. Hepsine başlangıçta metastatik yassı epitel hücreli karsinom tanısı konmuştu. Gereksiz radikal boyun diseksiyonu gibi cerrahi prosedürlerin uygulanmasına yol açabilen metastatik yassı epitel hücreli karsinom eksizyonu ihtimalinden kaçınmak için deneyimli bir sitolog tarafından ince iğne aspirasyon sitolojisinin yorumlanmasının önemi vurgulanmaktadır.

Kaynakça

  • van den Brekel MW, Castelijns JA, Stel HV, et al. Occult metastatic neck disease: detection with US and US guided fine- needle aspiration cytology. Radiology 1991;180:457-61.
  • Engzell U, Zajicek J. Aspiration biopsy of tumors of the neck. I. Aspiration biopsy and cytologic findings in 100 cases of congen- ital cysts. Acta Cytol 1970;14:51-7.
  • Burgess KL, Hartwick RW, Bedard YC. Metastatic squamous carcinoma presenting as a neck cyst. Differential diagnosis from inflamed branchial cleft cyst in fine needle aspirates. Acta Cytol 1993;37:494-8.
  • Thompson HY, Fulmer RP, Schnadig VJ. Metastatic squamous cell carcinoma of the tonsil presenting as multiple cystic neck masses. Report of a case with fine needle aspiration findings. Acta Cytol 1994;38:605-7.
  • Engzell U, Jakobsson PA, Sigurdson A, Zajicek J. Aspiration biop- sy of metastatic carcinoma in lymph nodes of the neck. A review of 1101 consecutive cases. Acta Otolaryngol 1971;72:138-47.
  • Granstrom G, Edstrom S. The relationship between cervical cysts and tonsillar carcinoma in adults. J Oral Maxillofac Surg 1989;47:16-20.
  • Warson F, Blommaert D, De Roy G. Inflamed branchial cyst: a potential pitfall in aspiration cytology. Acta Cytol 1986;30:201-2.
  • Burgess KL, Hartwick RWJ, Bedard YC. Metastatic squamous carcinoma presenting as a neck cyst. Differential diagnosis from inflamed branchial cysts. Acta Cytol 1993;37:494-8.
  • Granstrom G, Edstrom S. The relationship between cervical cysts and tonsillar carcinoma in adults. J Oral Maxillofac Surg 1989;47:16-20.
  • Ahuja A, Ng CF, King W, Metreweli C. Solitary cystic nodal metastasis from occult papillary carcinoma of the thyroid mim- icking a branchial cyst: a potential pitfall. Clin Radiol 1998;53:61-3.
  • Ahn JY, Kang SY, Lee CH, Yoon PH, Lee KS. Parapharyngeal branchial cleft cyst extending to the skull base: a lateral transzy- gomatic-transtemporal approach to the parapharyngeal space. Neurosurg Rev 2005;28:73-6.
  • Takita M, Hamaguchi H, Lin YT, et al. Lymphoepithelial cyst of the upper neck: report of a case. Osaka Daigaku Shigaku Zasshi 1989;34:431-7.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Songu M, Aslan H, Baflo¤lu S, Öztürkcan S, Etit D. Branchial cleft cyst presenting as metastatic squamous carcinoma in fine
  • needle aspirates: report of three cases. J Med Updates 2013;3(1):40-43.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Murat Songu Bu kişi benim

Hale Aslan Bu kişi benim

Sinan Başoğlu Bu kişi benim

Sedat Öztürkcan Bu kişi benim

Demet Etit Bu kişi benim

Yayımlanma Tarihi 1 Mart 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 3 Sayı: 1

Kaynak Göster

APA Songu, M., Aslan, H., Başoğlu, S., Öztürkcan, S., vd. (2013). İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu. Journal of Medical Updates, 3(1), 40-43. https://doi.org/10.2399/jmu.2013001007
AMA Songu M, Aslan H, Başoğlu S, Öztürkcan S, Etit D. İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu. Journal of Medical Updates. Mart 2013;3(1):40-43. doi:10.2399/jmu.2013001007
Chicago Songu, Murat, Hale Aslan, Sinan Başoğlu, Sedat Öztürkcan, ve Demet Etit. “İnce iğne aspiratlarında Metastatik Yassı Epitel hücreli Karsinom Olarak Saptanan Brankiyal yarık Kisti: Üç Olgu Sunumu”. Journal of Medical Updates 3, sy. 1 (Mart 2013): 40-43. https://doi.org/10.2399/jmu.2013001007.
EndNote Songu M, Aslan H, Başoğlu S, Öztürkcan S, Etit D (01 Mart 2013) İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu. Journal of Medical Updates 3 1 40–43.
IEEE M. Songu, H. Aslan, S. Başoğlu, S. Öztürkcan, ve D. Etit, “İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu”, Journal of Medical Updates, c. 3, sy. 1, ss. 40–43, 2013, doi: 10.2399/jmu.2013001007.
ISNAD Songu, Murat vd. “İnce iğne aspiratlarında Metastatik Yassı Epitel hücreli Karsinom Olarak Saptanan Brankiyal yarık Kisti: Üç Olgu Sunumu”. Journal of Medical Updates 3/1 (Mart 2013), 40-43. https://doi.org/10.2399/jmu.2013001007.
JAMA Songu M, Aslan H, Başoğlu S, Öztürkcan S, Etit D. İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu. Journal of Medical Updates. 2013;3:40–43.
MLA Songu, Murat vd. “İnce iğne aspiratlarında Metastatik Yassı Epitel hücreli Karsinom Olarak Saptanan Brankiyal yarık Kisti: Üç Olgu Sunumu”. Journal of Medical Updates, c. 3, sy. 1, 2013, ss. 40-43, doi:10.2399/jmu.2013001007.
Vancouver Songu M, Aslan H, Başoğlu S, Öztürkcan S, Etit D. İnce iğne aspiratlarında metastatik yassı epitel hücreli karsinom olarak saptanan brankiyal yarık kisti: Üç olgu sunumu. Journal of Medical Updates. 2013;3(1):40-3.