Abstract
This case illustrates the rare occurrence of a cystic schwannoma of the neck, presenting clinically and ultrasonographically as a type II second branchial cleft cyst. Histology demonstrated that it was in fact a rare cystic schwannoma, most likely arising from the cervical plexus. This is the first documented case of a cystic schwannoma of the neck being mistaken for a type II second branchial cleft cyst based on clinical and ultrasound findings alone. It suggests that more sophisticated radiological investigations, such as magnetic resonance imaging, may enable accurate diagnosis of a cystic schwannoma of the neck pre-operatively.
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Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O’Dwyer AJ, Donnelly MJ, Gaffney R, Maguire A, O’Dwyer TP, Timon CV, Walsh MA (2000) Head and neck schwannomas–a 10 year review. J Laryngol Otol 114:119–124
Coppens F, Peene P, Lemahieu SF (1990) Diagnosis and differential diagnosis of branchial cleft cysts by CT scan. J Belge Radiol 73:189–196
Daoud FS (2005) Branchial cyst: an often forgotten diagnosis. Asian J Surg 28:174–178
Glosser JW, Pires CA, Feinberg SE (2003) Branchial cleft or cervical lymphoepithelial cysts: etiology and management. J Am Dent Assoc 134:81–86
Gold BM (1980) Second branchial cleft cyst and fistula. Am J Roentgenol 134:1067–1069
Harnsberger HR, Mancuso AA, Muraki AS, Byrd SE, Dillon WP, Johnson LP, Hanafee WN (1984) Branchial cleft anomalies and their mimics: computed tomographic evaluation. Radiology 152:739–748
Howie AJ, Proops DW (1982) The definition of branchial cysts, sinuses and fistulae. Clin Otolaryngol Allied Sci 7:51–57
Koga H, Matsumoto S, Manabe J, Tanizawa T, Kawaguchi N (2007) Definition of the target sign and its use for the diagnosis of schwannomas. Clin Orthop Relat Res 464:224–229
Lanham PD, Wushensky C (2005) Second brachial cleft cyst mimic: case report. Am J Neuroradiol 26:1862–1864
Leu YS, Chang KC (2002) Extracranial head and neck schwannomas: a review of 8 years experience. Acta Otolaryngol 122:435–437
Luo B, Sun G, Zhang B, Liang K, Wen J, Fang K (2004) Neuroradiological findings of intracranial schwannomas not arising from the stems of cranial nerves. Br J Radiol 77:1016–1021
Smith OD, Ellis PD, Bearcroft PW, Berman LH, Grant JW, Jani P (2000) Management of neck lumps–a triage model. Ann R Coll Surg Engl 82:223–226
Wakoh M, Yonezu H, Otonari T, Sano T, Matsuzaka K, Inoue T, Wada N (2005) Two cases of schwannoma with marked cystic changes. Dentomaxillofac Radiol 34:44–50
Weber AL, Montandon C, Robson CD (2000) Neurogenic tumors of the neck. Radiol Clin North Am 38:1077–1090
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Buchanan, M.A., Williams, S.M., Hellquist, H. et al. Cystic schwannoma of the cervical plexus masquerading as a type II second branchial cleft cyst. Eur Arch Otorhinolaryngol 266, 459–462 (2009). https://doi.org/10.1007/s00405-008-0678-9
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DOI: https://doi.org/10.1007/s00405-008-0678-9