1、Consulsion: Surgical resection was the main method to treat the congenital branchial cleft cysts.

2、It was difficult to distinguish them from hemangioma, pure cyst, branchial cleft cyst, sebaceous gland cyst and dermoid cyst.

3、A brief discussion has been made in the clinical diagnosis and the causes of misdiagnosis in the first branchial cleft diseases.

4、Most of the thyroglossal duct cyst and branchial cleft cyst were monolocular, while lymphangioma multilocular. Metastatic tumors of the cystic lymph nodes were always associated with wall nodule.