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A case of cystic schwannoma in the neck masquerading as branchial cleft cyst

Sangita Bohara, Biswajit Dey, Swapnil Agarwal, Richa Gupta, Nita Khurana, Achal Gulati
  • Sangita Bohara
    Department of Pathology, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India
  • Biswajit Dey
    Department of Pathology, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India | drbish25@rediffmail.com
  • Swapnil Agarwal
    Department of Pathology, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India
  • Richa Gupta
    Department of Pathology, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India
  • Nita Khurana
    Department of Pathology, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India
  • Achal Gulati
    Department of Otolaryngology, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi,, India

Abstract

One-third of schwannomas occur in head and neck region, mostly in the parapharyngeal region. Cystic change is seen in only 4% of schwannomas. The diagnosis of such tumors remains a challenge due to the rarity of these lesions and limited utility of fine needle aspiration cytology. When cystic, branchial cleft cyst is an important differential diagnosis more so due to radiological resemblance. We present a case of 42-year-old male with left sided neck mass masquerading as branchial cleft cyst clinically and radiologically. Multiple sections examined from the cystic areas of the mass revealed lymphoid aggregates beneath the cyst wall in addition to the schwannomatous areas.

Keywords

cystic schwannoma, branchial cyst, lymphoid aggregates

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Submitted: 2014-02-14 20:13:31
Published: 2014-08-04 17:29:35
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Copyright (c) 2014 Sangita Bohara, Biswajit Dey, Swapnil Agarwal, Richa Gupta, Nita Khurana, Achal Gulati

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