Excision of rare adult cervical thymic cyst.

Autor: Cromar ZJ; Department of Otolaryngology, Miller School of Medicine, University of Miami, Miami, FL, USA zachary.cromar@med.miami.edu., Shah VN; Department of Otolaryngology, Miller School of Medicine, University of Miami, Miami, FL, USA., Kamrava B; Department of Otolaryngology-Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Nissim KR; Department of Otolaryngology-Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Velez-Torres JM; Department of Pathology - Head and Neck Cytopathology, University of Miami Miller School of Medicine, Miami, FL, USA.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2021 Oct 08; Vol. 14 (10). Date of Electronic Publication: 2021 Oct 08.
DOI: 10.1136/bcr-2021-244187
Abstrakt: Cervical thymic cysts (CTCs) represent 1% of all cervical cystic masses. A review of the literature found that CTCs are typically asymptomatic, with a propensity to be left sided. CTCs often require histological evaluation for diagnosis. A 27-year-old male patient presented to an outpatient otolaryngology clinic with worsening bilateral jaw and neck pain and an incidental right-sided neck mass found on cervical MRI. Preoperative differential diagnosis included venolymphatic malformation versus branchial cleft cyst. Histological examination of the excised specimen provided diagnosis of a CTC. Postoperatively, the patient reported improvement in cervical pain. CTCs are a rare cause of lateral neck mass in young adults. Typical presentation included neck enlargement with no symptoms or in some cases compressive symptoms. It is important to consider CTCs when formulating a differential for a lateral neck mass.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE