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Incidence and clinical predictors of cystic squamous cell carcinoma metastases in lateral cervical cysts

Published online by Cambridge University Press:  22 April 2019

P Stefanicka ,
N Gnojcakova ,
F Kurinec  and
M Profant
P Stefanicka*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Medical Faculty, Comenius University in Bratislava, Slovakia
N Gnojcakova
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nové Zámky, Slovakia
F Kurinec
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nové Zámky, Slovakia
M Profant
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Medical Faculty, Comenius University in Bratislava, Slovakia
*
Author for correspondence: Dr Patrik Stefanicka, Department of Otorhinolaryngology – Head and Neck Surgery, Medical Faculty, Comenius University in Bratislava, Antolska 11, 85107 Bratislava, Slovakia E-mail: patrikstefanicka@yahoo.com
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Abstract

Objective

This study aimed to determine the incidence of metastatic squamous cell carcinoma in patients with an isolated cervical cystic mass, and to describe the clinical features that might predict the origin of cystic tumours.

Method

Adult patients with isolated lateral cervical cystic masses who were scheduled for surgery from 1st January 2010 to 31st August 2016 in two tertiary care referral centres in Slovakia were analysed retrospectively.

Results

The incidence of cystic metastases in the whole cohort and in patients aged over 40 years were 9.9 per cent and 18.5 per cent, respectively. The incidence in patients aged over 40 years (18.5 per cent) was statistically significant (p = 0.003).

Conclusion

The incidence of cystic squamous cell carcinoma metastases in lateral cervical cysts in patients aged over 40 years is high enough to call for excisional biopsy with frozen section, panendoscopy with direct biopsies, tonsillectomy and even neck dissection in cases of histologically confirmed carcinoma.

Keywords

BranchiomaLymphatic MetastasisCarcinoma, Squamous CellOropharyngeal NeoplasmHuman Papillomavirus
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 5 , May 2019 , pp. 430 - 435
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr P Stefanicka takes responsibility for the integrity of the content of the paper

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