Cystic schwannoma of cervical sympathetic chain masquerading as type II second branchial cleft cyst

Authors

  • Ameya Bihani Department of ENT and Head and Neck Surgery, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra
  • Jyoti P. Dabholkar Department of ENT and Head and Neck Surgery, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20150588

Keywords:

Cystic schwannoma, Cervical sympathetic chain, Second branchial arch

Abstract

Brachial cleft cyst is the most common differential diagnosis of benign lateral neck swelling but other cystic swellings like carotid body tumours and cystic schwannomas should be kept in mind. MRI of neck is of great assistance in determining the nature of the swelling as fine needle aspiration cytology will fail in diagnosing such swellings accurately. We present a case of 22 year old female who presented with a slow growing swelling which was diagnosed as brachial cyst on FNAC and CT but turned out to be cystic schwannoma of cervical sympathetic chain which highlights the importance of considering various differentials of lateral neck swelling and limitation of FNAC and importance of pre-operative MRI in such cases.

References

Wakoh M, Yonezu H, Otonari T, Sano T, Matsuzaka K, Inoue T, et al. Two cases of schwannoma with marked cystic changes. Dentomaxillofac Radiol. 2005;34:44-50.

Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O’Dwyer AJ, et al. Head and neck schwannomas: a 10-year review. J Laryngol Otol. 2000;114:119-24.

Sharma DK, Sohal BS, Parmar TL, Arora H. Schwannomas of head and neck and review of literature. Indian J Otolaryngol Head Neck Surg. 2012;64:177-80.

Wakoh M, Yonezu H, Otonari T, Sano T, Matsuzaka K, Inoue T, et al. Two cases of schwannoma with marked cystic changes. Dentomaxillofac Radiol. 2005;34:44-50.

Bailey H. Branchial cysts and other essays on surgical subjects in the faciocervical region. In: Bailey H, eds. A Book. 1st ed. London, England: Lewis; 1929.

Lanham PD, Wushensky C. Second brachial cleft cyst mimic: case report. Am J Neuroradiol. 2005;26:1862-4.

Buchanan MA, Williams SM, Hellquist H, Innes AJ. Cystic schwannoma of the cervical plexus masquerading as a type II second branchial cleft cyst. Eur Arch Otorhinolaryngol. 2009;266:459-62.

Bohara S, Dey B, Agarwal S, Gupta R, Khurana N, Gulati A. A Case of cystic schwannoma in the neck masquerading as branchial cleft cyst. Rare Tumors. 2014;6(3):53-5.

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Published

2015-07-04