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

Introduction. 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...

Full description

Saved in:
Bibliographic Details
Main Authors: Vijendra Shenoy, M. Panduranga Kamath, Mahesh Chandra Hegde, Raghavendra Rao Aroor, Vijetha V. Maller
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2013/350502
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832551560288141312
author Vijendra Shenoy
M. Panduranga Kamath
Mahesh Chandra Hegde
Raghavendra Rao Aroor
Vijetha V. Maller
author_facet Vijendra Shenoy
M. Panduranga Kamath
Mahesh Chandra Hegde
Raghavendra Rao Aroor
Vijetha V. Maller
author_sort Vijendra Shenoy
collection DOAJ
description Introduction. 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, and management of this rare lateral neck swelling. Discussion. Clinically, in most 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 neck masses. Greater awareness among the pathologists may decrease misdiagnosis.
format Article
id doaj-art-b3126bef85104faba5f9af50f2df6946
institution Kabale University
issn 2090-6765
2090-6773
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-b3126bef85104faba5f9af50f2df69462025-02-03T06:01:10ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/350502350502Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck SwellingVijendra Shenoy0M. Panduranga Kamath1Mahesh Chandra Hegde2Raghavendra Rao Aroor3Vijetha V. Maller4Department of ENT-Head and Neck Surgery, Kasturba Medical College-Mangalore, Manipal University, Mangalore, Karnataka 576 104, IndiaDepartment of ENT-Head and Neck Surgery, Kasturba Medical College-Mangalore, Manipal University, Mangalore, Karnataka 576 104, IndiaDepartment of ENT-Head and Neck Surgery, Kasturba Medical College-Mangalore, Manipal University, Mangalore, Karnataka 576 104, IndiaDepartment of ENT-Head and Neck Surgery, Kasturba Medical College-Mangalore, Manipal University, Mangalore, Karnataka 576 104, IndiaDepartment of Radiodiagnosis & Imaging, Kasturba Medical College-Mangalore, Manipal University, Mangalore, Karnataka 576 104, IndiaIntroduction. 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, and management of this rare lateral neck swelling. Discussion. Clinically, in most 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 neck masses. Greater awareness among the pathologists may decrease misdiagnosis.http://dx.doi.org/10.1155/2013/350502
spellingShingle Vijendra Shenoy
M. Panduranga Kamath
Mahesh Chandra Hegde
Raghavendra Rao Aroor
Vijetha V. Maller
Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling
Case Reports in Otolaryngology
title Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling
title_full Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling
title_fullStr Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling
title_full_unstemmed Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling
title_short Cervical Thymic Cyst: A Rare Differential Diagnosis in Lateral Neck Swelling
title_sort cervical thymic cyst a rare differential diagnosis in lateral neck swelling
url http://dx.doi.org/10.1155/2013/350502
work_keys_str_mv AT vijendrashenoy cervicalthymiccystararedifferentialdiagnosisinlateralneckswelling
AT mpandurangakamath cervicalthymiccystararedifferentialdiagnosisinlateralneckswelling
AT maheshchandrahegde cervicalthymiccystararedifferentialdiagnosisinlateralneckswelling
AT raghavendraraoaroor cervicalthymiccystararedifferentialdiagnosisinlateralneckswelling
AT vijethavmaller cervicalthymiccystararedifferentialdiagnosisinlateralneckswelling