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Case Reports
. 2017 Jul 4;12(3):628-631.
doi: 10.1016/j.radcr.2017.06.003. eCollection 2017 Sep.

Congenital dermoid fistulas of the anterior chest region (CDFACR): usefulness of sonography for complete resection

Takahiro Hosokawa  1 , Yoshitake Yamada  2 , Hiroaki Takahashi  1 , Yumiko Sato  1 , Yutaka Tanami  1 , Keisuke Suzuki  3 , Hiroshi Kawashima  3 , Eiji Oguma  1
Affiliations
Case Reports

Congenital dermoid fistulas of the anterior chest region (CDFACR): usefulness of sonography for complete resection

Takahiro Hosokawa et al. Radiol Case Rep. .

Abstract

Congenital dermoid fistulas of the anterior chest regions (CDFACRs) consist of a skin orifice at the anterior border of the sternocleidomastoid muscle with fistulas extending caudally in the subcutaneous tissue near the sternoclavicular joint. We report 2 pediatric CDFACR cases with pathognomonic sonography findings. By using sonography, we could diagnose the fistulas as CDFACRs by focusing on their location and direction and could reveal the distal side for complete resection. We suggest that sonography, which does not involve radiation or require sedation, is a better choice for the initial examination of CDFACRs than computed tomography or MRI.

Keywords: Branchial cleft cyst; Dermoid cyst; Sternoclavicular joint.

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Figures

Fig. 1
Fig. 1
Congenital dermal fistula of the anterior chest region in an 11-month-old girl. (A) The skin orifice of the fistula (white arrow) is situated near the sternoclavicular joint in the left anterior chest region. The direction of the fistula is not apparent. (B) Transverse grayscale sonography of the anterior chest region. The image shows a hypoechoic fistula (white arrow) located at the level of the sternoclavicular joint (black arrow). (C) Longitudinal grayscale sonography of the anterior chest region. The image shows a hypoechoic fistula (white arrows) that extends caudally to the sternoclavicular joint. The direction of the fistula is not apparent. C, clavicle; S, sternum; SC, sternoclavicular.
Fig. 2
Fig. 2
A 4-year-old girl with a congenital dermal fistula of the anterior chest region. (A) Transverse grayscale sonography of the anterior chest region. The image shows a hypoechoic fistula (white arrow) located at the level of the sternoclavicular joint (arrow). (B) Longitudinal grayscale sonography of the anterior chest region. The image shows a hypoechoic fistula (white arrows) that extends caudally to the sternoclavicular joint. (C) Diffusion-weighted MRI shows high signal intensity (white arrow) in the sternoclavicular joint area. (D) Sagittal fat-suppressed T2-weighted MRI shows high signal intensity (white arrow) extending to the sternoclavicular joint. (E) T2-weighted MRI shows a cystic lesion (white arrow) with high signal intensity near the sternoclavicular joint. (F) T1-weighted MRI shows a cystic lesion (white arrow) with low signal intensity near the sternoclavicular joint. (G) Histological examination of the fistula (100×, hematoxylin and eosin staining). The fistula was lined with stratified squamous epithelium (black arrow). C, clavicle; S, sternum; SC, sternoclavicular.
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References

    1. Adachi K., Yoshida Y., Yamamoto O. Symmetrical congenital dermoid fistulae of the anterior chest region. Eur J Dermatol. 2009;19(2):181–182. - PubMed
    1. Araki N., Hamajia A., Onodera T., Uchida Y. Congenital fistula of the sternoclavicular joint area. J Plast Reconstr Surg. 2015;35:86–91.
    1. Ise M., Fumiyo Y., Konohana I. A case of congenital dermoid fistula at the left steroclavicular joint. Rinsyo Hihuka. 2014;68(3):234–238.
    1. Matunaga W., Ishihara T., Yasuno K. Congenital dermoid fistula of the anterior chest region. Nishinihon J Dermatol. 1994;56:34–39.
    1. Muto J., Mori N., Konohana I., Sato H. Congenital dermoid fistula of the anterior chest region. Clin Exp Dermatol. 2004;29(1):96–97. - PubMed

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