A Case Report of Cervical Thymic Cyst and Review of Literature

Madhira, Srivalli; Qaiyum, Hamid Abdul; Moorthy, Prayaga N. Srinivas; Kolloju, Srikanth

doi:10.1007/s12070-010-0092-7

Cited by 11 publications

(10 citation statements)

References 8 publications

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“…The size of a thymic cyst varies from 1 to 26 cm while in our case it was 14.5 cm (23). Most thymic cysts are asymptomatic, while in 6-13% of all cases, affected patient may present with stridor -as in our case -, dysphonia, dysphagia or hoarseness (9,21,22,24). Thymic cyst may be complicated with infection or hemorrhage during its course, thus presenting in an acute manner (16).…”

Section: Discussionmentioning

confidence: 64%

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Fusiform Cervical Mass in a 6-Year Old Boy; Do not Forget the Thymic Cyst

Patoulias

Mitroudi

Rafailidis

et al. 2019

Acta Med. (Hradec Kralove, Czech Repub.)

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Cervical thymic cyst is a rare clinical entity, with approximately one hundred cases reported in the literature so far. The purpose of this case report is to highlight some certain features, along with an extensive research of the relevant literature. A 6-year-old boy was admitted to the Otorhinolaryngology Department due to the presence of a left-sided, painless, latero-cervical swelling, first observed by his parents 2 weeks ago. Physical examination revealed a painless, well-delineated mass, with no signs of inflammation. No enlarged cervical nodes were present. The mass extended from the mandibular angle, under the sternocleidomastoid muscle, in proximity with the ipsilateral neurovascular bundle. Ultrasound transverse gray-scale panoramic view detected a wellcircumscribed lesion, with fine echogenic foci, appearing in close proximity with the upper pole of the left thyroid lobe and the ipsilateral common carotid artery. Elective surgical intervention with complete mass excision was performed. Histopathological examination confirmed the diagnosis of a cervical thymic cyst. Cervical thymic remnants represent a group of neck masses that pediatricians and pediatric surgeons should consider in differential diagnosis of both cystic and solid neck masses. Most cystic cervical thymic masses are found in the lower third of the anterior neck, extending deep to the sternocleidomastoid muscle, featuring close anatomic relationship with the composites of the ipsilateral carotid sheath. Elective surgery is kept as the treatment of choice, after ruling out the possibility of subject immunologic disturbance.

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Section: Discussionmentioning

confidence: 64%

“…Thus, physical examination, preoperative imaging and intraoperative findings play a crucial role in the diagnosis of a cervical thymic cyst; however, diagnosis is usually established after histopathological examination (7,22,24).…”

Section: Discussionmentioning

confidence: 99%

Fusiform Cervical Mass in a 6-Year Old Boy; Do not Forget the Thymic Cyst

Patoulias

Mitroudi

Rafailidis

et al. 2019

Acta Med. (Hradec Kralove, Czech Repub.)

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“…The mean age of onset is 7 years [ 5 ] with a slight male predominance [ 8 ]. Most cases are asymptomatic, making diagnosis difficult [ 3 , 4 ]. Usually, the lesion is found anterior to sternocleidomastoid [ 4 ] along the embryological line of the thymus descent [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Due to its rarity, it is not generally considered in the differential diagnosis of pediatric cystic neck masses. Thereby, it is often confused with the branchial cleft cyst, much more frequent, the cystic lymphangioma or the thyroglossal duct cyst [ 3 ], and it is invariably diagnosed on histopathology [ 4 , 5 ]. We report a new observation of cervical thymic cyst in an 8-year-old boy, erroneously diagnosed as a cystic hygroma preoperatively but confirmed by pathological examination.…”

Section: Introductionmentioning

confidence: 99%

Lateral cervical thymic cyst in a child: a case report

et al. 2018

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BackgroundCervical thymic cysts are uncommon lesions, rarely considered in the differential diagnosis of neck cysts in children.Case presentationWe report a rare case of multiloculated thymic cyst in an 8-year-old boy on the right side of the neck. Perioperative diagnosis was a cystic hygroma. Macroscopic examination showed a cystic mass measuring 6.5 cm in total length. Histopathology of the excised specimen revealed thymic tissue with prominent Hassall’s corpuscles associated with multiloculated cyst. The cyst wall is bordered by a flattened or multilayered epithelium, often abraded.ConclusionThis case is presented here for its rarity and should be included in the differential diagnosis of neck masses in children. So, it’s a lesion to be well aware of, particularly by pathologists.

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“…Differential diagnosis of a cervical mass in a child includes congenital cysts such as bronchiogenic or thyroglossal duct, cystic hygroma, lymphadenopathy, lymphangioma, hemangioma, lymphoma, soft tissue sarcoma and thyroid or parathyroid lesions (17,18). But thymic cysts should always be included in the differential diagnosis of lateral cervical masses, especially in children (11,19).…”

Section: Discussionmentioning

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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A Case Report of Cervical Thymic Cyst and Review of Literature

Cited by 11 publications

References 8 publications

Fusiform Cervical Mass in a 6-Year Old Boy; Do not Forget the Thymic Cyst

Fusiform Cervical Mass in a 6-Year Old Boy; Do not Forget the Thymic Cyst

Lateral cervical thymic cyst in a child: a case report

Symptomatic Cervical Thymic Cyst: A Case Report and Literature Review

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