In case of cystic tumors in the jugular area teratoma, thymoma and cystic altered
thyroid tissue are usually considered.
A 63 year old patient presented with weight loss and an enoral mucosal lesion in our
department. Night sweating or further signs of infection were denied.
The preoperative ultrasound demonstrated a cystic tumor localised median in the jugular
area with an max. diameter of 2.5cm. There was no contact to the hyoid bone nor the
thyroid gland and no further pathologies described. After the performed panendoscopy
for the mucosal lesion, we excised the cystic tumor in total through a cervical approach.
The tumor presented two colors (yellow and orange) as well as hairs. The histological
analysis revealed dermoid cyst with perifocal foreign body reaction as well as giant
cells of endogenous type, without signs of malignancy. It was not a teratoma, as initially
suspected.
Conclusion Seldom can dermoid cysts in the jugular area reach these dimensions without showing
signs of infection or other clinical symptoms. Due to the anatomical location, more
rare diseases should be considered in advance. To clarify the unclear malignancies
and prevent degeneration, a surgical therapy of the tumor is indicated with a complete
extirpation, as soon as the tumor is diagnosed.
Poster-PDF
A-1561.pdf
