Case Number : Case 1611 - 29 August Posted By: Guest

Interesting - does the site and superficial location fit with the diagnosis ? 

Bronchogenic cysts are usually present near manubrium stern but have been reported on the anterior neck. I see some serous-mucous gland in fig1, as minor salivary glands of bronchial wall...more difficult form me is answer to superficial site question. I know superficial site doesn't fit with thyroglossal cyst, but why not with BC?

I agree with the points remarked by Vincenzo. There is a lot of controversy in the definition of developmental cysts, the distinction between thyroglossal cyst, bronchogenic cyst and branchyal cyst can be sometimes difficult as they can all share similar histological images. CPC is important as well as images, that is why I prefer doing a diagnosis of developmental cyst in favour of ... the presence of the submucosal glands was the reason of my inclination towards Bronchogenic cyst. Another differential is cutaneous cyliated cyst but this entity is mainly described in the extremities of females and is of mullerian origin not quite the aspect of epithelium seen here.

Mucinous syringometaplasia is a nice remark by Mona, however how could we explain the presence of cilia and the submucosal glands?

Agree with bronchogenic cyst.