Ectopic thymic cyst in the neck

Terzakis, Georgios; Louverdis, Dionisios; Vlachou, Stamatia; Anastasopoulos, Georgios; Dokianakis, Georgios; Tsikou-Papafragou, A.

doi:10.1258/0022215001905472

Cited by 22 publications

(14 citation statements)

References 15 publications

(11 reference statements)

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“…Subsequently, the development of the mass can either be sudden, due to infection or haemorrhage, or slowly progressive. Only 6-10% of the patients complain about dysphagia, dyspnea, stridor, cervical pain or hoarseness and vocal cord paralysis [18,19,26,27]. In general, ectopic thymic tissue appears to invoke symptoms relatively more commonly in children than in older patients with over 50% of cases involving children experiencing respiratory and feeding difficulties [28].…”

Section: Discussionmentioning

confidence: 99%

“…In general, ectopic thymic tissue appears to invoke symptoms relatively more commonly in children than in older patients with over 50% of cases involving children experiencing respiratory and feeding difficulties [28]. Severe respiratory compromise may occur due to intrinsic obstruction by thymic masses within the trachea or extrinsic compression, especially in neonates [26]. This airway compromise has been reported in the literature as a symptom that appears in up to 7% of patients with thymic cysts [26,29].…”

Section: Discussionmentioning

confidence: 99%

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Cervical thymic cysts

et al. 2007

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Thymic cysts are rare embryonic remnants along the course of thymic migration in the neck or the anterior mediastinum which may result in cervical masses in children, often misdiagnosed. We present the experience gained by three European tertiary care medical centers in the treatment of thymic cysts as well as the current data on the embryology, clinical presentation, diagnosis and management of thymic cysts. A retrospective study was carried out in nine patients with thymic cysts during the period 1986-2002 at the departments of Pediatric Surgery of Children's University Hospital "Federico II" and "Santobono" Pediatric Hospital of Naples in Italy and "Aghia Sophia" Children's Hospital of Athens in Greece. All cases were asymptomatic, appearing mainly as masses resembling branchial cyst or lymphatic malformation. Laboratory and imaging investigations were not useful for preoperative diagnosis. In one case the mass extended into the mediastinum. The histological findings of thymic tissue and Hassal's corpuscles in the cystic wall were diagnostic. In all cases, surgery was successful and uneventful. Surgical excision was accomplished by dissection of the cystic masses from the jugular vein, carotid artery and vagus nerve and from the sternocleidomastoid muscle. The presence of a normal thymus in the mediastinum must be documented preoperatively in order to avoid the risk of total thymectomy. If a cervical thymic cyst extends into the normal thymus, attempts should be made to preserve the thymus, especially in younger patients. Thymic cysts should always be included in the differential diagnosis of lateral cervical masses, especially in children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cervical thymic cysts

et al. 2007

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“…Surgery is the treatment of choice and helps to establish the definitive diagnosis (10). Presence of normal thymus gland in the mediastinum must be confirmed before surgery to avoid postoperative immune dysfunction (1). For the definite diagnosis of a thymic cyst, the histopathologic examination is necessary in which Hassall's corpuscles and/or cholesterol granulomas are revealed.…”

Section: Discussionmentioning

confidence: 99%

“…These abnormalities include cervical bronchogenic cyst, remnants of the bronchial cleft or lymphatic malformation, thyroglossal duct, cystic teratoma, parathyroid and thyroid cysts and thymic anomalies. Due to its rarity, cervical thymic cyst is seldom included in the differential diagnosis of a neck mass, and it is rarely a symptomatic cervical thymus cyst (1). Thymus gland is mainly originated from the third and fourth pharyngeal pouches in association with the inferior parathyroid glands.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic Cervical Thymic Cyst: A Case Report and Literature Review

et al. 2013

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A B S T R A C T Introduction:Ectopic cervical thymic cyst is a very rare cause of neck masses in children. The diagnosis is sometimes very difficult and preoperative, correctly diagnosed thymic cysts in the neck are very low. Case Presentation: We report a 5-year-old boy with a left sided cervical mass and respiratory distress following a common cold, and ultrasound and CT scan revealed a cystic mass in the left neck with extension to the anterior mediastinum, suggesting cystic hygroma. After complete resection of the cyst and its extension, pathology report demonstrated simple thymus cyst. Discussion: Thymic cyst must be considered in differential diagnosis of a young child with a cervical mass.

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“…Hasta radyolojik takibe alındı ve 7 yıl sonraki kontrol akciğer grafisi ve tomografisinde timik kistin tama yakın gerilediği gözlendi (Şekil 4). (9,11,12). Kistler çok farklı boyutlarda olabilir, çapı 30 cm'i bulan timik kist bildirilmiştir ( 13).…”

Section: Olguunclassified

Spontaneously Regressing Thymic Cyst

Duman¹,

Kuyucu²,

Ernam³

et al. 2013

Respir Case Rep

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Thymic cysts are uncommon lesions, constituting 1- 3% of all mediastinal masses. Most of these cysts are asymptomatic and found incidentally through routine chest roentgenograms. Our patient was asymptomatic, and a routine chest x-ray revealed mediastinal widening. A mediastinal mass, 6x4 cm in dimension, was detected by computed tomography. The lesion was hypodense, well defined, and cystic in nature. Magnetic resonance imaging of the thorax revealed a typical cyst expanding from the rudimentary thymus tissue. Although total excision of the cyst is the preferred treatment modality in these patients, close radiological follow-up of our patient revealed total remission. In conclusion, asymptomatic thymic cysts can be radiologically monitored and spontaneous remission can be observed

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Ectopic thymic cyst in the neck

Cited by 22 publications

References 15 publications

Cervical thymic cysts

Cervical thymic cysts

Symptomatic Cervical Thymic Cyst: A Case Report and Literature Review

Spontaneously Regressing Thymic Cyst

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