Abstract
A 59-year-old Japanese man who had recently noticed a gradual enlargement in a nodule located in the left anterior part of his neck was admitted for surgical treatment. The histopathological features of the resected tumor were consistent with a typical lymphoepithelial cyst, however, the inner surface epithelium of the cyst showed histological transition to mucoepidermoid carcinoma, which was partially invading the cyst wall. Despite clinical efforts in a systemic search, no primary lesions which could have metastasized were found. The patient hasn’t shown any evidence of recurrence since his tumor resection over 2 years ago. Besides this rare case report, a review of the English literature reveals 22 cases of possible branchiogenic carcinoma over the last 10 years, including 21 cases whose histological features were of squamous cell carcinoma and 1 whose histological features revealed mucoepidermoid carcinoma. The present case is thus only the second proven case of low-grade mucoepidermoid carcinoma arising within a branchiogenic cyst.
Similar content being viewed by others
References
Bernstein ABA, Scardino PT, Tomaszewski MW, Cohen MH. Carcinoma arising in a branchial cleft cyst. Cancer 1976; 37: 2417–2422.
Tami TA. Intraparotid branchial cleft cyst. Arch Otolaryngol 1985; 111: 204–205.
Fujibayashi T. Lymphoepithelial (so-called branchial) cyst within the parotid gland. Report of a case and review of the literature. Int J Oral Surg 1981; 10: 283–292.
Browder JP, Wheeler MS, Henley JT, Geratz JD. Mucoepidermoid carcinoma in a cervical cyst: A case of branchiogenic carcinoma? Laryngoscope 1984; 94: 107–112.
Martin H, Morfit HM, Ehrlich H. The case for branchiogenic cancer (malignant branchioma). Ann Surg 1950; 132: 867–887.
Black B, Naran AG. Branchiogenic carcinoma. Clin Otolaryngol 1978; 3: 27–36.
Artese L, Piattelli A, Piattelli M. Branchiogenic carcinoma. Report of a case. Acta Stomatol Belg 1986; 83: 21–24.
Honoré LH, Blackwood HJ, O’hara KE. Primary branchiogenic carcinoma. Ear Nose Throat J (Chicago) 1979; 58: 21, 25–27.
Söderström KO. In situ carcinoma in branchial cysts. ORL J Otorhinolaryngol Relat Spec 1987; 49: 149–151.
Beinsch BM, Som ML. Branchial cleft carcinoma. Arch Otolaryngol 1973; 98: 208–209.
Mccarthy SA, Turnbull FM Jr. The controversy of branchiogenic carcinoma. Arch Otolaryngol 1981; 107: 570–572.
Shreedhar R, Tooley AH. Carcinoma arising in a branchial cyst. Br J Surg 1984; 71: 115.
Sandiford JA, Chun BK, Potter JF. Branchiogenic carcinoma. J R Coll Surg Edinb 1987; 32: 148–151.
Jablokow VR, Kathuria S, Wang T. Squamous cell carcinoma arising in branchiogenic cyst: Branchial cleft carcinoma. J Surg Oncol 1982; 20: 201–204.
Wolff M, Rankow RM, Fleigel J. Branchiogenic carcinoma—Fact or Fallacy? J Maxillofac Surg 1979; 7: 41–47.
Krogdahl AS. Carcinoma occurring in branchial cleft cysts. Acta Otolaryngol (Stockh) 1979; 88: 289–295.
Clinberg JZ, Silver CE, Molnar JJ, Vogl SE. Cervical cysts: Cancer until proven otherwise? Laryngoscope 1982; 92: 27–30.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Misonou, J., Iwabuchi, K., Aizawa, M. et al. Mucoepidermoid carcinoma arising in a lymphoepithelial cyst —Report of a case and review of the literature on branchiogenic carcinoma—. The Japanese Journal of Surgery 19, 474–479 (1989). https://doi.org/10.1007/BF02471631
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02471631