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  • Title: [Metastatic cystic squamous cell carcinoma in the neck mistaken as primary branchial cleft carcinoma: a report of 4 cases].
    Author: Huang CP, Wang HS, Kong YY, Wang J.
    Journal: Zhonghua Zhong Liu Za Zhi; 2004 Oct; 26(10):634-7. PubMed ID: 15634531.
    Abstract:
    OBJECTIVE: To raise the vigilance not to believe easily the diagnosis of a primary branchial cleft carcinoma. METHODS: Four cases of cystic metastatic squamous cell carcinoma in the neck misdiagnosed as branchiogenic carcinoma from 1993 to 2002 in our hospital were analyzed retrospectively. RESULTS: The primary sites of these 4 cases were later discovered, 2 in the aryepiglottic fold, 1 in faucial tonsil and 1 in the skin of the head, respectively. The discovery of the primary sites ranged from the day of initial surgery to 41 months. CONCLUSION: None of the cases reviewed in this study was a branchiogenic carcinoma. Therefore, the diagnosis of a primary branchial cleft carcinoma requires the fulfillment of strict criteria both clinically and pathologically.
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