Role of fine needle aspiration cytology in the preoperative investigation of branchial cysts

Jacqueline Slater, Jonathan W. Serpell, Stacey Woodruff, Simon Grodski

Research output: Contribution to journalArticle

7 Scopus citations


Background: Successful preoperative diagnosis of a branchial cyst requires a systematic approach. The aim of this study was to evaluate methods of investigation of a lateral neck swelling suspicious for a branchial cyst, and to highlight cases where a less benign cause for the swelling should be suspected and therefore management altered appropriately. Methods: A retrospective case study of 24 patients with presumed branchial cysts managed operatively was undertaken. Demographic, clinical, imaging, cytology and histopathological data were analysed to formulate an approach to the work-up of a lateral neck swelling suspected to be a branchial cyst. Results: All 24 patients presented with a lateral neck mass thought to be a branchial cyst preoperatively underwent preoperative fine-needle aspiration cytology. The overall accuracy of cytology in predicting a benign branchial cyst histopathologically was 83.3% (20 out of 24). Conclusion: Successful preoperative diagnosis of a branchial cyst requires a combination of imaging and cytology. If there is concern that a lateral neck swelling is not a branchial cyst on clinical, imaging or cytological features, then a full preoperative work-up, including computed tomography scan of the neck and upper aero-digestive tract endoscopy should be performed, prior to an excisional biopsy.

Original languageEnglish (US)
Pages (from-to)42-45
Number of pages4
JournalANZ Journal of Surgery
Issue number1-2
StatePublished - Jan 1 2012



  • Branchial cyst
  • Cervical lymph node
  • Cytology
  • Metastatic squamous carcinoma
  • Preoperative
  • Surgery

ASJC Scopus subject areas

  • Surgery

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