Abstract
Lymphoepithelial cyst or branchial cyst is an aberrant pathology during embryogenesis involving the branchial Arches. The usual site of presentation is below the angle of the mandible in the anterior triangle of the neck.
Branchial cyst masquerading as a swelling in the parotid region is of uncommon occurrence and there are only about 100 reported cases.
Here we report a case of 28 year female presenting with a 6 month history of painless cystic swelling in the region of the parotid, for which total excision of the swelling was done followed by histopahological examination which revealed it to be branchial cyst.
Due to rarity of this pathology and unusual presentation authors are reporting this one.
Keywords: branchial cyst, lymphoepithelial cyst.
References
1. Altman and Bailey,1994. parotid cyst a case report INT J Oral maxillofac. SURG23-165-166
2. Howie AJ; Proops DW 1982-7 51-57.clinical otolargol the definition of branchial cysts;sinus and fistulae.
3. Fujibashi and Itoh; 1981 Lymphoepithelial cyst within parotid gland; a case report and review of the literature Int J Oral SURG 10 283-292-294.
4. Antonisadis etal 1990-benign cyst of parotid gland Int J Oral maxillofac SURG-19,139-140.
5. Rickles NH and Little JW (1967). The histogenesis of branchial cyst 2. A study of the lining epithelium Am J Pathol,50;765-773.
6. Thymopharengeal Duct theory –Wenglosswiki, 1913.
7. Bhaskar SN and Bernier JL (1959)- Histogenesis of branchial cysts-a case report of 468 cases AM J Pathol 35; 139-140.
8. Mandel L and Reich R (1992)-HIV related gland lymphoepithelial cysts –Oral Surg MED Oral Pathol 74 533-534
9. Camilleri AC and Lylod RE (1990)-Lymphoepithelial cysts of the parotid gland.BR J Oral Maxillofac SURG 28,329-332
10. Elliott JN and Oertel YC(1990)-Lymphoepithelial cysts and salivary gland AM J CLI Pathol 93;39-43
11. Golledge J and Ellis H ;The aetiology of lateral cervical cyst (branchial) cysts; past and present theories J Laryngol otol 1994.108;653-659.
12. Telander RL; Deane SA, Thyroglossal and Branchial cleft cysts and sinuses. SURG CLI North AM 1977-57;779-97.
13. Van de Mark TB; Weinberg S; Weizel H ;Branchial cleft cysts; a review and case report. Oral surg med oral pathol.1969, 38, 149-55.
14. Longhorn CF; solitary cystic nodal metastasis occult papillary carcinoma of the thyroid mimicking a branchial cyst; a potential pitfall (comment) clinical radiol.1994;49; 359-360.
15. Ahuja A; Ng CF; King W; Meterweli C; solitary cystic nodal metastasis from occult papillary carcinoma of the thyroid mimicking a branchial cyst: potential pitfall, clin radiol 1998;53;61-3.
16. Foss RD; Warnock GR; Clark WB; Graham SJ; Morton AL; Yunan ES; Malignant cyst of lateral aspect of the neck-branchial cleft carcinoma or metastasis? Oral surg oral med oral pathol.1991;71(2) 214-217
17. Maynard JD (1988) Solitary cyst of the parotid.Br.J.Surg 75(10);1043.
18. Wymen etal,1988; Lymphoepithelial branchial cysts within the parotid gland Br.J.Surg 75(8) 818-819.
Corresponding Author
Dr Santosh Thorat
MBBS MS FIAGES, Asst. Prof Surgery
Dept. of General Surgery, B J GMC & Sassoon Hospital Pune
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.37
