Branchial cleft cyst or sinus in Adult
Sometimes a branchial cleft cyst or sinus is not recognized until later in childhood, when it becomes infected. Rarely, it may go unnoticed until it becomes infected in adulthood. A laryngocele may present with a neck mass and is associated with hoarseness and swelling.
Q18.0 – Sinus, fistula and cyst of branchial cleft
59857007 – Branchial cleft cyst
Differential Diagnosis & Pitfalls
- Thyroglossal duct cyst – Midline cystic lesion, often near the hyoid bone, often with a draining sinus.
- Pilomatricoma (calcifying epithelioma of Malherbe)
- A malignancy must be considered in a new-onset neck mass in an adult, especially when associated with enlarged lymph nodes.
- Midline anterior neck inclusion cyst (MANIC) – A type of superficial midline developmental anomaly