Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling

Shenoy, Vijendra and Kamath, Panduranga M and Hegde, Mahesh Chandra and Rao , Raghavendra Aroor and Maller, Vijetha V. (2013) Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling. Case Reports in Otolaryngology.

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Abstract

Thymic cysts are among the rarest cysts found in the neck. Nests of thymic tissue may be found anywhere along the descent of the thymic primordia from the angle of the mandible to the mediastinum. Mediastinal extension is seen in 50% of cervical thymic cysts. Case Report. We report an uncommon case of a 15-year-old male, who noted a painless, growing mass on left side of his neck of one-year duration. Computerised tomographic scan showed a multiloculated fluid density lesion with enhancing septae in the left parapharyngeal space, extending from the level of mandible up to C7 vertebral level. Here, we discuss the surgical aspect, histopathology, andmanagement of this rare lateral neck swelling. Discussion. Clinically, inmost cases, cervical thymic lesions present as a unilateral asymptomatic neck mass, commonly on the left side of the neck, and 75% of patients present before 20 years of age. Conclusion.Thymic cyst should be included as differential diagnosis of cystic neckmasses. Greater awareness among the pathologists may decrease misdiagnosis.

Item Type: Article
Additional Information: Case Report
Subjects: Medicine > KMC Mangalore > Radio Diagnosis and Imaging
Medicine > KMC Mangalore > E.N.T
Depositing User: KMCMLR User
Date Deposited: 31 Jul 2013 11:32
Last Modified: 31 Jul 2013 11:32
URI: http://eprints.manipal.edu/id/eprint/136711

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