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

• Main Authors: Takahiro Hosokawa, MD, Yoshitake Yamada, MD, Hiroaki Takahashi, MD, Yumiko Sato, MD, Yutaka Tanami, MD, Keisuke Suzuki, MD, Hiroshi Kawashima, MD, Eiji Oguma, MD
• Format: Article
• Language: English
• Published: Elsevier 2017-09-01
• Series: Radiology Case Reports
• Subjects: Dermoid cyst; Sternoclavicular joint; Branchial cleft cyst
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043317301917

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.