Thymic cysts are among the least common congenital neck and mediastinal masses. They usually present as lateral, painless neck masses, although sometimes dysphagia, dyspnea, or even severe respiratory compromise may occur. Thymic cysts are rarely diagnosed preoperatively. The final diagnosis is based on histological investigation of the excised sample. Complete surgical resection remains the treatment of choice. We report a case of a 5-year-old boy with a large cervicomediastinal thymic cyst, presenting as a painless enlarging mass in the left side of the neck, and discuss the diagnosis and management of thymic cysts.
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