Preferences help
enabled [disable] Abstract
Number of results
2012 | 84 | 9 | 445-448
Article title

Lateral and median cysts of the neck

Title variants
Languages of publication
The aim of the study was to present clinical picture, indications for surgery, immediate and remote results of surgical treatment for lateral and median cysts of the neck.Material and methods. A total of 17247 patients were operated between 1 January 1990 and 31 December 2011 for neck tumors.Results. Neck cysts were diagnosed in 34 (0.2%) patients, including lateral in 12 (35.3%) and median in 22 (64.7%). Lateral cyst once descended to the mediastinal. Nodular goitres were diagnosed in 17 (50%) of them - with the lateral cysts 4x and median cysts 13x. Guided fine-needle aspiration biopsy of the cyst-like lesions revealed the presence of protein masses in all patients. The lesions were found to have inflammatory character in 6 patients (17.6%) regarding median cysts (5x) or lateral cyst (1x). Out of them, 3 patients developed purulent inflammatory process. All patients were operated. The operation consisted of radical resection of the cyst only or plus partial resection of both thyroid lobes and total resection of pyramidal lobe if concomitant goitre was found. Two patients required one-stage resection of the enlarged lymph nodes in the neck. Suspected focus of thyroid papillary cancer was found by intra-operative examination in neck median cyst wall in one patient. However, paraffin tests did not confirm the suspicion. Another patient was found by histopathological examination to have active tuberculotic process within both lateral cyst and lymph nodes. The patient received intensive antituberculotic treatment postoperatively.Conclusions. 1. Median cysts of the neck are more often accompanied by thyroid tumor-like goitres than lateral cysts. 2. Radical resection of the cysts in operative treatment results in good long term patient condition and prevent in recurrence of the illness.
Physical description
1 - 10 - 2012
23 - 10 - 2012
  • 1. Marioni G, Staffieri A, Parisi S et al: Rational diagnostic and therapeutic management of deep neck infections: analysis of 233 consecutive cases. Ann Otol Rhinol Laryngol 2010; 119(3): 181-87.
  • 2. Tien KJ, ChenTC , Hsieh MC et al.: Acute suppurative thyroiditis with deep neck infection: a case report. Thyroid 2007; 17(5): 467-69.[WoS][Crossref][PubMed]
  • 3. Herndon MD, Christie DB, Ayoub MM , Duggan AD: Thyroid abscess: case report and review of the literature. Am Surg 2007; 73(7): 725-28.[PubMed]
  • 4. Untch BR, Olson JA Jr: Anaplastic thyroid carcinoma, thyroid lymphoma and metastasis to thyroid. Surg Oncol Clin N Am 2006; 15(3): 661-79.[PubMed][Crossref]
  • 5. Gawrychowski J, Kowalski G, Buła G: Rak przytarczyc - diagnostyka i leczenie operacyjne. Doświadczenia 24-letnie. Pol Przegl Chir 2010; 82(2): 157-68.
  • 6. Dedeurwaerdere F, Van Damme B: Histopathology of parathyroid glands. Acta Otorhinolaryngol Belg 2001; 55: 95-101.[PubMed]
  • 7. Slatosky J, Shipton B, Wahba H: Thyroiditis: differential diagnosis and management. Am Fam Physician 2000; 61(4): 1047-52.[PubMed]
  • 8. Acierno SP, Waldhausen JH: Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin North Am 2007; 40(1): 161-76.[WoS][Crossref][PubMed]
  • 9. Bartnik W, Bartnik-Krystalska A: Wrodzone torbiele i przetoki szyi. Otolaryngol Pol 2002; 56(5): 567-71.
  • 10. Nicollas R, Guelfucci B, Roman S, Triglia JM: Congenital cysts and fistulas of the neck. Int J Pediatr Otorhinolaryngol 2000; 55(2): 117-24.[Crossref][PubMed]
  • 11. Pietarinen-Runtti P, Apajalahti S, Robinson S, Passador-Santos F et al.: Cystic neck lesions: clinical, radiological and differential diagnostic considerations. Acta Otolaryngol 2010; 130(2): 300-04.[Crossref]
  • 12. Al-Khateeb TH, Al Zoubi F: Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 2007; 65(11): 2242-47.
  • 13. Trifunović B, Zamaklar D, Parabucki D et al.: Cystic changes in the neck in children. Srp Arh Celok Lek 2004; 132 Suppl 1: 62-65.
  • 14. Al-Khateeb TH, Al-Masri NM , Al-Zoubi F: Cutaneous cysts of the head and neck. J Oral Maxillofac Surg 2009; 67(1): 52.
  • 15. Winiarski P, Zmudziński A, Doroszewska G: Przypadek olbrzymiej torbieli bocznej szyi o wieloletnim przebiegu. Otolaryngol Pol 2004; 58(3): 605-08.
  • 16. Thomaidis V, Seretis K, Tamiolakis D et al.: Branchial cysts. A report of 4 cases. Acta Dermatovenerol Alp Panonica Adriat 2006; 15(2): 85-89.
  • 17. Chi HS, Wang LF , Chiang FY et al.: Branchial cleft cyst as the initial impression of a metastatic thyroid papillary carcinoma: two case reports. Kaohsiung J Med Sci 2007; 23(12): 634-38.[PubMed][WoS][Crossref]
  • 18. M atsumoto K, Watanabe Y, Asano G: Thyroid papillary carcinoma arising in ectopic thyroid tissue within a branchial cleft cyst. Pathol Int 1999; 49(5): 444-46.
  • 19. Bekhar H, Verhulst J: Supra and infra hyoid midline cervical cysts or hyoglossal abnormalies: a propos of 45 cases. Rev Laryngol Otol Rhinol (Bord) 2007; 128(3): 149-53.
  • 20. Layfield LJ: Fine-needle aspiration of the head and neck. Pathology (Phila) 1996; 4(2): 409-38.
  • 21. Motamed M, McGlashan JA: Thyroglossal duct carcinoma. Curr Opin Otolaryngol Head Neck Surg 2004; 12(2): 106-109.[Crossref][PubMed]
  • 22. Dobromyslova NA , Amosov VI, Petrov NL : Cysts and cystoid formations of the neck: significance and possibilities of radiodiagnosis. Vestn Khir Im I I Grek 2003; 162(5): 12-18.
  • 23. A mosov VI, Dobromyslova NA : Radiologic diagnosis of outside-of-organs neck neoplasms. Vopr Onkol 2000; 46(5): 615-18.
  • 24. Lohela P: Ultrasound guide drainages and sclerotherapy. Eur Radiol 2002; 12(2): 288-95.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.