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Congenital cystic neck mass of thymic origin. | LitMetric

Congenital cystic neck mass of thymic origin.

BMJ Case Rep

College of Medicine and Surgery, Taif University, Taif, Saudi Arabia.

Published: May 2024

AI Article Synopsis

  • Neck masses in children can result from various causes, including infections, congenital issues, and tumors.
  • A case study describes a rare thymic neck mass in a boy, which was identified as a thymopharyngeal duct cyst through imaging, without common symptoms like fever or difficulty breathing.
  • The recommended treatment is complete surgical removal, and the case underscores the need for medical professionals to consider a wide range of potential diagnoses when assessing neck masses in children, particularly thymopharyngeal cysts.

Article Abstract

Neck masses are frequently seen in children. The differential diagnosis includes infectious, congenital and neoplastic lesions. We report a case of rare thymic neck mass in a boy in his middle childhood presented with a history of a left anterolateral neck mass not associated with fever, dysphagia or shortness of breath. The radiographic evaluation showed a picture of a thymopharyngeal duct cyst. Thymic remnant and thymopharyngeal duct cyst are caused by the failure of obliteration and might appear as a lateral neck mass in children. The most effective treatment for a thymopharyngeal duct cyst is total surgical excision. This particular case highlights the importance for clinicians to have a high index of suspicion for a broad differential diagnosis when evaluating paediatric patients who present with neck mass. Additionally, we emphasise the importance of consistently considering thymopharyngeal cyst as differential diagnosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11085960PMC
http://dx.doi.org/10.1136/bcr-2023-256136DOI Listing

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