A case of bilateral intrathyroidal branchial cleft cyst in a newborn

Eun Jae Chung, Seung-Kuk Baek, Sung Won Youn, Chul Hwan Kim, Jang Hoon Lee, Kwang-Yoon Jung

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We describe an extremely rare case of bilateral intrathyroidal branchial cleft cysts. A 2-day-old male neonate presented with intermittent tachypnea, dyspnea, and a palpable neck mass. Cervical ultrasonography and computerized tomography scan demonstrated a right-sided 3 × 3-cm cystic mass and a left sided 4.5 × 4-cm cystic mass, thought to be originating in the thyroid gland. The right-sided cyst decreased in size after OK-432 sclerotherapy. The left-sided cyst showed little response to 2 attempts of OK-432 sclerotherapy. Surgical removal of the left-sided cyst was done because of intermittent airway problems. The cystic mass was thought to be an intrathyroidal lesion. Microscopically, the cyst was lined by nonkeratinized squamous epithelium and respiratory epithelium. Lymphocyte infiltration was found in the subepithelial layer. The patient is currently doing well 12 months later with no evidence of recurrence.

Original languageEnglish
JournalJournal of Pediatric Surgery
Volume45
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

Fingerprint

Branchioma
Cysts
Newborn Infant
Picibanil
Sclerotherapy
Tachypnea
Respiratory Mucosa
Dyspnea
Ultrasonography
Thyroid Gland
Neck
Epithelium
Tomography
Lymphocytes
Recurrence

Keywords

  • Newborn
  • Pharyngeal arch remnant cyst
  • Thyroid gland

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

A case of bilateral intrathyroidal branchial cleft cyst in a newborn. / Chung, Eun Jae; Baek, Seung-Kuk; Youn, Sung Won; Kim, Chul Hwan; Lee, Jang Hoon; Jung, Kwang-Yoon.

In: Journal of Pediatric Surgery, Vol. 45, No. 1, 01.01.2010.

Research output: Contribution to journalArticle

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AB - We describe an extremely rare case of bilateral intrathyroidal branchial cleft cysts. A 2-day-old male neonate presented with intermittent tachypnea, dyspnea, and a palpable neck mass. Cervical ultrasonography and computerized tomography scan demonstrated a right-sided 3 × 3-cm cystic mass and a left sided 4.5 × 4-cm cystic mass, thought to be originating in the thyroid gland. The right-sided cyst decreased in size after OK-432 sclerotherapy. The left-sided cyst showed little response to 2 attempts of OK-432 sclerotherapy. Surgical removal of the left-sided cyst was done because of intermittent airway problems. The cystic mass was thought to be an intrathyroidal lesion. Microscopically, the cyst was lined by nonkeratinized squamous epithelium and respiratory epithelium. Lymphocyte infiltration was found in the subepithelial layer. The patient is currently doing well 12 months later with no evidence of recurrence.

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