%0 Journal Article %T Absence of adjuvant radiotherapy may be an additional criteria in diagnosing a branchiogenic squamous cell carcinoma: A case report %A Alexandre Anesi %A Giuseppe Pollastri %A Vincenzo Bond¨¬ %A Luigi Chiarini %A Sara Barberini %J Open Journal of Stomatology %P 63-67 %@ 2160-8717 %D 2012 %I Scientific Research Publishing %R 10.4236/ojst.2012.21012 %X Branchiogenic carcinoma is extremely rare. The majority of branchiogenic carcinomas are cystic metastases originating in the tonsils, and not true carcinomas arising in a branchial cleft cyst. Isolated cystic neck lesions necessitate a thorough search for a primary tumor, as with other occult primaries presenting with cervical metastases. As the existence of primary branchiogenic carcinoma is controversial, Martin and colleagues and then Khafif and coworkers established a series of widely accepted criteria to recognize this type of carcinoma. We report a case of a large cervical mass, consistent with a branchiogenic carcinoma of the second branchial arch. The patient underwent excision of the neck mass through a radical neck dissection. The cyst wall was found to have squamous cell carcinoma arising from the benign epithelium. Follow-up at 7 years revealed no evidence of recurrence. All diagnostic criteria for a true branchiogenic carcinoma were met in this case. The absence of adjuvant irradiation is a further confirmation that the mass is not a cystic node metastasis but a carcinoma arised from within a branchial cleft cyst. %K Branchial Cleft Cyst %K Branchial Cyst %K Branchiogenic Carcinoma %K Malignant Branchioma %K Cystic Cervical Lymph Node Metastasis %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=18250