Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia

The pathogenesis of cervical extension of the thymus has been postulated to be incomplete descent of the thymus in the midline of the neck, which is considered normal in children. The thymus normally extends to the neck in approximately two-thirds of children. Ectopic thymus mainly occurs in 1%–13%...

Full description

Saved in:
Bibliographic Details
Main Authors: Maryam Albaqami, Abdulaziz Almonifi, Areej Albelali
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Annals of Thoracic Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/atm.atm_91_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832087730512723968
author Maryam Albaqami
Abdulaziz Almonifi
Areej Albelali
author_facet Maryam Albaqami
Abdulaziz Almonifi
Areej Albelali
author_sort Maryam Albaqami
collection DOAJ
description The pathogenesis of cervical extension of the thymus has been postulated to be incomplete descent of the thymus in the midline of the neck, which is considered normal in children. The thymus normally extends to the neck in approximately two-thirds of children. Ectopic thymus mainly occurs in 1%–13% of the younger population. In this study, we report two cases of asymptomatic neck swelling, one due to cervical extension of the thymus and the other due to a right submandibular ectopic thymus. None of the patients required any intervention. Recurrent suprasternal swelling in children that becomes more pronounced during coughing/crying or Valsalva maneuvers can be more accurately diagnosed using neck ultrasonography and/or magnetic resonance imaging.
format Article
id doaj-art-624b0cc45bc44f5e860746bc1b259499
institution Kabale University
issn 1817-1737
1998-3557
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Thoracic Medicine
spelling doaj-art-624b0cc45bc44f5e860746bc1b2594992025-02-06T04:51:14ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-35572025-01-01201717310.4103/atm.atm_91_24Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi ArabiaMaryam AlbaqamiAbdulaziz AlmonifiAreej AlbelaliThe pathogenesis of cervical extension of the thymus has been postulated to be incomplete descent of the thymus in the midline of the neck, which is considered normal in children. The thymus normally extends to the neck in approximately two-thirds of children. Ectopic thymus mainly occurs in 1%–13% of the younger population. In this study, we report two cases of asymptomatic neck swelling, one due to cervical extension of the thymus and the other due to a right submandibular ectopic thymus. None of the patients required any intervention. Recurrent suprasternal swelling in children that becomes more pronounced during coughing/crying or Valsalva maneuvers can be more accurately diagnosed using neck ultrasonography and/or magnetic resonance imaging.https://journals.lww.com/10.4103/atm.atm_91_24cervical extension of the thymusectopic thymusneck mass
spellingShingle Maryam Albaqami
Abdulaziz Almonifi
Areej Albelali
Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia
Annals of Thoracic Medicine
cervical extension of the thymus
ectopic thymus
neck mass
title Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia
title_full Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia
title_fullStr Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia
title_full_unstemmed Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia
title_short Asymptomatic neck mass and normal variations of the thymus in children: A report of two cases from a tertiary hospital in Riyadh, Saudi Arabia
title_sort asymptomatic neck mass and normal variations of the thymus in children a report of two cases from a tertiary hospital in riyadh saudi arabia
topic cervical extension of the thymus
ectopic thymus
neck mass
url https://journals.lww.com/10.4103/atm.atm_91_24
work_keys_str_mv AT maryamalbaqami asymptomaticneckmassandnormalvariationsofthethymusinchildrenareportoftwocasesfromatertiaryhospitalinriyadhsaudiarabia
AT abdulazizalmonifi asymptomaticneckmassandnormalvariationsofthethymusinchildrenareportoftwocasesfromatertiaryhospitalinriyadhsaudiarabia
AT areejalbelali asymptomaticneckmassandnormalvariationsofthethymusinchildrenareportoftwocasesfromatertiaryhospitalinriyadhsaudiarabia