‘Multiloculated cervical thymic cyst’ – Case report with review of literature

Jaiswal, Ashwin Ashok; Garg, Amrish Kumar; Ravindranath, M.; Mohanty, Manoj Kumar

doi:10.1016/j.ejenta.2013.12.003

Cited by 11 publications

(24 citation statements)

References 17 publications

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“…When a neoplastic disorder has been excluded, the differential diagnosis of a cervical lesion is extensive, including infectious causes like Epstein-Barr virus, cat scratch disease, tuberculosis and abscess. Benign masses like haematomas, haemangiomas and dermoid cysts are clinically difficult to distinguish from anatomical abnormalities such as branchial cleft cysts in the absence of a hallmark symptomatology to support the diagnosis 5 6…”

Section: Discussionmentioning

confidence: 99%

“…Unsuccessful regression of this canal can lead to the formation of a congenital cervical thymic cyst with remnants of thymopharyngeal duct 10. A second anatomical variant without ductal fragments arises due to the degeneration of Hassall’s corpuscles in ectopic thymic remnants 6 10. Only 20% to 30% of thymic cysts are located on the right side of the neck; the basis of this predilection is at present unidentified 6.…”

Section: Discussionmentioning

confidence: 99%

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Challenges in diagnosing ectopic thymus tissue in children

Claes

Dendooven

Heerden³

2019

BMJ Case Rep

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The presentation of a fast-growing cervical mass necessitates prompt attention due to risk of the mass effect on vital structures and requires preferential screening for infections, bleeding and malignancies in an extensive list of differential diagnoses. This case report describes a 4.5-year-old boy with a fast-growing, unilateral lesion in the neck, with clinical features in keeping with malignant characteristics. Surgical excision with pathocytological examination revealed an exceptional diagnosis of haemorrhage in an ectopic cervical thymic cyst. Thymic cysts are a rare cause of unilateral masses in the neck, usually presenting as an asymptomatic, painless, slow-growing or stable mass anywhere along the thymopharyngeal duct. Spontaneous haemorrhages in thymic tissue can occur, often due to coagulation defects. Treatment of symptomatic thymic cysts is based on surgical excision. Partial resection of the thymus should be encouraged if possible, since clinical consequences of removing all thymic tissue in children are still unclear.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Challenges in diagnosing ectopic thymus tissue in children

Claes

Dendooven

Heerden³

2019

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Alternatively, a thymic cyst may be acquired, developing after chemotherapy or thoracotomy, or even associated with thymic tumours distorting and compressing normal thymic tissue (17,18). Overall, up to 70% of cervical thymic cysts are left-sided, while there is a slight predominance among males (19,20).…”

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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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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“…5 The cyst may be associated with Sjögren's syndrome, aplastic anemia and myasthenia gravis suggesting an immune-mediated inflammatory process as the cause. 3 Unilocular congenital thymic cysts do not recur and are usually cured by a simple cystectomy. 6 A study in 1995 reported multiloculated thymic cyst in association with Human Immunodeficiency virus (HIV) infection.…”

Section: Discussionmentioning

confidence: 99%

“…2 Acquired cyst are multilocular with associated inflammatory process, may adhere to surrounding neurovascular structures. 3,4 A multiloculated thymic cyst may cause difficulties in diagnosis because of their apparently invasive appearance, varying microscopic features and they may be associated with thymic neoplasms. 5 We report diagnostic challenge of incidentally found rare large benign multiloculated thymic cyst in a 47year male who recovered well after surgical excision of the cyst.…”

Section: Introductionsmentioning

confidence: 99%

Mutiloculated thymic cyst: unusual presentation of mediastinal mass

Laudari

Bhandari

Ramtel

et al. 2019

J Patan Acad Health Sci

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Here we present a case of 47 year male found to have large multiloculated thymic cyst during work up done for recurrent pleural effusion. Mediastinal cyst constitutes 10-15% of all radiographically detected mediastinal masses. Thymic cyst account only 5% of mediastinal masses. Thymic cyst can cause difficulty in diagnosis due to its rare presentation, invasive nature and occasional associated with thymic neoplasm. They have been detected incidentally and associated with Sjögren’s syndrome, aplastic anemia myasthenia gravis and immunocompromised patients. Here we present a case of 47-year-old male initially work up done for recurrent pleural effusion turned out to be large multilocuated thymic cyst improved after excision which had no associated syndromes and immunocompromised state.

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‘Multiloculated cervical thymic cyst’ – Case report with review of literature

Cited by 11 publications

References 17 publications

Challenges in diagnosing ectopic thymus tissue in children

Challenges in diagnosing ectopic thymus tissue in children

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

Mutiloculated thymic cyst: unusual presentation of mediastinal mass

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