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A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood
The cervical thymic cyst (CTC) is a rare, benign neck mass that most commonly presents in the pediatric population. These entities can occur anywhere along the normal path of descent of the thymus from the mandible to the sternal notch, and extension into the mediastinum has been observed. The prese...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428822/ https://www.ncbi.nlm.nih.gov/pubmed/32832180 http://dx.doi.org/10.1155/2020/4059530 |
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author | Smith, Blaine D. Schild, Michael H. Jiang, Xiaoyin “Sara” Kahmke, Russel R. |
author_facet | Smith, Blaine D. Schild, Michael H. Jiang, Xiaoyin “Sara” Kahmke, Russel R. |
author_sort | Smith, Blaine D. |
collection | PubMed |
description | The cervical thymic cyst (CTC) is a rare, benign neck mass that most commonly presents in the pediatric population. These entities can occur anywhere along the normal path of descent of the thymus from the mandible to the sternal notch, and extension into the mediastinum has been observed. The presentation of these masses is often characterized by a painless, enlarging neck mass in a child during the first decade of life. Although most patients are asymptomatic, abutment of the cyst against local structures has led to a variety of presentations including respiratory distress. These rare lesions are noted to have a male predominance and most commonly present on the left side of the neck. We present the rare case of a 19-year-old male who presented with a left-sided painless, cystic neck mass. He underwent a computed tomography scan of the neck which showed a large cystic mass in the left neck deep to the sternocleidomastoid muscle. Preoperatively, the diagnosis of an infected third branchial cyst was favored. The lesion was completely excised in the operating room. Final pathology was consistent with a CTC. The CTC is an uncommon benign process that often presents as an asymptomatic cystic neck mass. Knowledge of the clinical presentation, diagnostic process, and treatment of these rare lesions is essential for the Otolaryngologist. |
format | Online Article Text |
id | pubmed-7428822 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-74288222020-08-20 A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood Smith, Blaine D. Schild, Michael H. Jiang, Xiaoyin “Sara” Kahmke, Russel R. Case Rep Otolaryngol Case Report The cervical thymic cyst (CTC) is a rare, benign neck mass that most commonly presents in the pediatric population. These entities can occur anywhere along the normal path of descent of the thymus from the mandible to the sternal notch, and extension into the mediastinum has been observed. The presentation of these masses is often characterized by a painless, enlarging neck mass in a child during the first decade of life. Although most patients are asymptomatic, abutment of the cyst against local structures has led to a variety of presentations including respiratory distress. These rare lesions are noted to have a male predominance and most commonly present on the left side of the neck. We present the rare case of a 19-year-old male who presented with a left-sided painless, cystic neck mass. He underwent a computed tomography scan of the neck which showed a large cystic mass in the left neck deep to the sternocleidomastoid muscle. Preoperatively, the diagnosis of an infected third branchial cyst was favored. The lesion was completely excised in the operating room. Final pathology was consistent with a CTC. The CTC is an uncommon benign process that often presents as an asymptomatic cystic neck mass. Knowledge of the clinical presentation, diagnostic process, and treatment of these rare lesions is essential for the Otolaryngologist. Hindawi 2020-08-06 /pmc/articles/PMC7428822/ /pubmed/32832180 http://dx.doi.org/10.1155/2020/4059530 Text en Copyright © 2020 Blaine D. Smith et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Smith, Blaine D. Schild, Michael H. Jiang, Xiaoyin “Sara” Kahmke, Russel R. A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood |
title | A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood |
title_full | A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood |
title_fullStr | A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood |
title_full_unstemmed | A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood |
title_short | A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood |
title_sort | rare case of a cervical thymic cyst presenting in adulthood |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428822/ https://www.ncbi.nlm.nih.gov/pubmed/32832180 http://dx.doi.org/10.1155/2020/4059530 |
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