Cystic squamous cell carcinoma metastasis to the neck masquerading as branchiogenic carcinoma

Authors: Ying, Shun-yuen¹; Ho, Wai-sun; Ahuja, Anil²; To, Ka-fai³

Source: Surgical Practice, Volume 7, Number 1, March 2003 , pp. 34-37(4)

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Abstract:

Primary branchiogenic carcinoma was previously a debated entity for its existence. It was a popular diagnosis for any cystic carcinoma in the neck until in 1950 Martin et al. proposed specific and strict diagnostic criteria for this condition. Only a handful of cases successfully fulfilled all the criteria were reported afterwards. We report the management of a case who was diagnosed to have cystic squamous cell metastasis from a tonsillar origin. We suggest carrying out thorough search of the upper aero digestic tract for occult primaries upon finding of a cystic metastasis in the neck. Random biopsies in the region of Waldeyer's ring are of particular importance in this situation. Bilateral tonsillectomies should be carried out in doubtful cases. Radical neck dissection and postoperative radiotherapy to the diseased side is recommended.

Keywords: cystic squamous cell carcinoma; diagnosis; treatment

Document Type: Case report

DOI: http://dx.doi.org/10.1046/j.1442-2034.2003.00153.x

Affiliations: 1: Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Departments of 2: Diagnostic and Therapeutic Imaging and 3: Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR.

Publication date: 2003-03-01