Head & Neck

INFLAMMED THYROGLOSSAL DUCT CYST. (Courtesy Dr . V . Penopoulos).

INFLAMMED THYROGLOSSAL DUCT CYST. (Courtesy Dr . V . Penopoulos).

THYROGLOSSAL DUCT REMNANT CYST . (Courtesy Dr . V . Penopoulos).

SIZEABLE BRANCHIAL CYST .(Courtesy Dr . V . Penopoulos).

EXCISION OF BRANCHIAL CLEFT SINUS . (Courtesy Dr . V . Penopoulos).

CROSS SECTION BRANCHIAL CLEFT CYST . (Courtesy Dr . V . Penopoulos).

BRANCHIAL CLEFT CYST . (Courtesy Dr . V . Penopoulos).

PARAPHARYNGEAL BRANCHIAL CLEFT CYST. (Courtesy Dr . V . Penopoulos).

PARAPHARYNGEAL BRANCHIAL CLEFT CYST . (Courtesy Dr . V . Penopoulos).

BRANCHIAL CLEFT CYST . (Courtesy Dr . V . Penopoulos).

EXCISED BRANCHIAL CLEFT SINUS. (Courtesy Dr . V . Penopoulos).

Syringography . BRANCHIAL CLEFT SINUS. (Courtesy Dr . V . Penopoulos).

BRANCHIAL CLEFT SINUS . (Courtesy Dr . V . Penopoulos).

BRANCHIAL CLEFT CYST . (Courtesy Dr . V . Penopoulos).

BRANCHIAL CLEFT CYST . (Courtesy Dr . V . Penopoulos).

Neck CT Scan.Cystic lesion in close proximity with the hyoid bone.(Courtesy Dr.V.Penopoulos).

Neck U/S.Sizeable cystic lesion. Thyroglossal duct cyst carcinoma .(Courtesy Dr.V.Penopoulos).

Mucinous cells with blue cytoplasm and flattened nuclei, intermixed with squamous cells containing dense eosinophilic cytoplasm and round nuclei. Courtesy Dr. V. Penopoulos.

Specimen of left thyroid lobectomy and cystectomy.(Courtesy Dr.V.Penopoulos).

Embryological transformation.

MRI images in the right neck.There is no significant solid or nodular component or surrounding infiltration.(Courtesy Dr.V.Penopoulos )

Embryological transformation.

The branchial cleft cyst was lined by stratified squamous epithelium.Keratinaceous debris is noted in the lumen. Lymphoid aggregates with germinal centers are identified subjacent to the epithelium

2nd branchial cleft cyst (Courtesy Dr. V. Penopoulos)

Gross examination of the excised cyst reveals a smooth surface lining of uniform thickness without papillary projections (Courtesy Dr. V. Penopoulos)

Anatomy of Salivary Glands .

Anatomy of Salivary Glands .

Excised intraparotid lymph node.(Courtesy Dr . V . Penopoulos).

Wound nicely healed following excision (Courtesy Dr. V. Penopoulos)

Excised Hodgkin’s Parotid Lymphoma.(Courtesy Dr . V . Penopoulos).

Thyroglossal duct cyst .(Courtesy Dr.V.Penopoulos).

Neck MRI – Detailed imaging of the cyst. ( Courtesy Dr. V. Penopoulos ).

Surgical specimen of complete excision of thyreoglossal duct cyst.Purple arrow-Hyoid bone .Yellow arrow-Thyroglossal cyst.(Courtesy Dr.V.Penopoulos).

Red arrow-Foramen cecum.Green arrow-Hyoid bone.Light blue arrow-Thyroid cartilage.(Courtesy Dr.V.Penopoulos).

Reccurent Thyroglossal duct cyst.(Courtesy Dr. V. Penopoulos).

Thyroglossal duct cyst . ( Courtesy Dr. V. Penopoulos ).

Thyroglossal duct cysts.(Courtesy Dr.V.Penopoulos).

Thyroglossal duct cysts.(Courtesy Dr.V.Penopoulos).

Surgical specimen of complete excision of thyreoglossal duct cyst.Purple arrow-Hyoid bone.Yellow arrow-Thyroglossal cyst.(Courtesy Dr.V.Penopoulos).

Thyroglossal duct cyst. Neck MRI – Detailed imaging of the cyst. ( Courtesy Dr. V. Penopoulos ) .