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Malignant branchioma--a further insight.

Two cases presented with solitary cystic mass in the usual position of a branchial cyst in the neck are reported. Histology on both cysts reported as carcinoma of a branchial cyst (malignant branchioma). In addition to pre-operative radiotherapy to the neck, and ipsi-lateral radical neck dissection, the oropharynx is irradiated in prophylactic manner only in the second case. The first patient died of tonsillar carcinoma 3.5 years after diagnosis and the second case is well with no sign of recurrence 4 years after the initial diagnosis. The authors discuss the nature and management of the so called malignant branchioma.

Adult↗

[The problem of malignant branchioma. A description of three cases of degeneration or epitheliomatous metastasis within amygdaloid cervical cysts (author's transl)].

The authors describe three cases of malignant degeneration observed within amygdaloid cysts in two male and one female patient aged sixty. In one of the cases in which the cyst had been present for more than two years, there was apparently some primary degeneration, the theory favoured was that of Veau's malignant branchioma; two other cases showed metastasis of a homolateral tonsillar epithelioma within an hitherto sub-clinical amygdaloid cyst.

Amygdala↗

[Branchioma].

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Branchioma↗

[Cervical cystic metastasis in ENT carcinoma. Differential diagnosis with the branchioma].

This study report 3 cases of nodal cystic metastasis in the neck. One of them was diagnosed as an epidermoid carcinoma of unknown origin and the other 2 were an epidermoid carcinoma and an mucoepidermoid carcinoma respectively, arising in the larynx. Treatment of these patients included removal of the cystic metastasis with or without neck dissection and irradiation. Cystic metastasis from squamous cell carcinoma have often been mistaken for primary squamous cell carcinoma of branchiogenic origin. The distinctive histological features of cystic metastasis reviewed after its correct identification, can lead to the discovery of an unsuspected primary lesion and result in specific treatment options.

Adult↗

Branchiogenic carcinoma (malignant branchioma).

The authors describe the characteristics of branchiogenic carcinoma as that of a pathological entity on the occasion of reporting four cases. The clinical course of the disease and the cytological and histological features are discussed on the basis of our observations and literature data. The authors stress the importance of careful and repeated clinical examinations, which exclude the possibility of a primary tumor of other localization, in establishing the diagnosis of branchiogenic carcinoma.

Adult↗

Mucoepidermoid carcinoma in a cervical cyst: a case of branchiogenic carcinoma?

A patient with a primary oral epidermoid carcinoma with presumed neck metastasis is presented who at operation was found to have a cervical mucoepidermoid carcinoma arising in the wall of a benign cyst. The case for considering this tumor a primary branchioma of mucoepidermoid type is presented, and the criteria for making the diagnosis of branchiogenic carcinoma are discussed.

Branchioma↗

[Preauricular fistulae].

Preauricular fistulae and their relapses are not exceptional in ENT practice. Simple topographic and anatomical relations in this area tempt us to underrate the surgical risk which is mainly the danger of incomplete removal and subsequent relapses. The elimination of nonidentifiable remnants of branchiomas in the granulation and scar tissue calls for resection extending to sound neighbouring structures which require more pretentious knowledge of clinical and anatomical conditions in this region. The authors operated successfully during the past 10 years 10 preauricular fistulae (primary operations) and two relapses. They outline the principles of surgery which were formulated with regard to their own experience, data in the literature and based on the most recent embryological findings; they emphasize preventive aspects of surgical treatment of preauricular fistulae.

Adult↗