CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 98-100

Cystic schwannoma mimicking a second branchial cleft cyst on computed tomography


1 Department of Radiodiagnosis, Shri M.P. Shah Medical College and Guru Govind Singh Government Hospital, Jamnagar, Gujarat, India
2 Department of Imaging, Shri M.P. Shah Medical College and Guru Govind Singh Government Hospital, Jamnagar, Gujarat, India

Correspondence Address:
Madan Mohan Gupta
Department of Radiodiagnosis and Imaging, M P Shah Medical College and Guru Govind Singh Government Hospital, Jamnagar, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.148866

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Schwannoma of the neck is a relatively uncommon tumor. Schwannoma present as insidious, slow-growing, painless masses, characteristics that often lead to an incorrect diagnosis. Cystic schanommas among schanommas are a rare entity. This is a case report of a cystic schwannoma presenting as the cystic lesion in the neck. We report the computed tomography (CT) findings in a 40-year-old female patient presented with a lateral neck mass histologically shown to be a schwannoma, but having certain radiographic features (like tail sign) commonly considered pathognomonic for a type III second branchial cleft cyst (BCC). It is very necessary to differentiate cystic schwannoma from other cystic lesions preoperatively. CT may misguide us for a benign cystic lesion like second BCC. Contrast magnetic resonance imaging and ultrasound findings are very much helpful in differentiation of cystic schwannoma from other cystic lesions of the neck.


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