Acta Med. 2019, 62: 117-122

https://doi.org/10.14712/18059694.2019.135

Fusiform Cervical Mass in a 6-Year Old Boy; Do not Forget the Thymic Cyst

Ioannis Patouliasa, Magdalini Mitroudia, Vasilios Rafailidisb, Thomas Feidantsisa, Constantine Theocharidesc, Parthena Kampouridoud, Dimitrios Patouliase

aFirst Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital “G. Gennimatas”, Thessaloniki, Greece
bDepartment of Radiology, Aristotle University of Thessaloniki, General Hospital “AHEPA”, Thessaloniki, Greece
cDepartment of Pathology, General Hospital “G. Gennimatas”, Thessaloniki, Greece
dDepartment of Pediatrics, General Hospital “G. Gennimatas”, Thessaloniki, Greece
eFirst Department of Internal Medicine, General Hospital “Hippokration”, Thessaloniki, Greece

Received March 25, 2019
Accepted June 21, 2019

References

1. Nishino M, Ashiku SK, Kocher ON, Thurer RL, Boiselle PM, Hatabu H. The thymus: a comprehensive review. Radio Graphics 2006; 26(2): 335–48.
2. Lele SM, Lele MS, Anderson VM. The thymus in infancy and childhood: embryologic, anatomic, and pathologic considerations. Chest Surg Clin N Am 2001; 11(2): 233–53.
3. Ackman JB, Kovacina B, Carter BW, et al. Sex difference in normal thymic appearance in adults 20-30 years of age. Radiology 2013; 268(1): 245–53. <https://doi.org/10.1148/radiol.13121104>
4. Goldstein AJ, Oliva I, Honarpisheh H, Rubinowitz A. A tour of the thymus: a review of thymic lesions with radiologic and pathologic correlation. Can Assoc Radiol J 2015; 66(1): 5–15. <https://doi.org/10.1016/j.carj.2013.09.003>
5. Nasseri F, Eftekhari E. Clinical and radiologic review of the normal and abnormal thymus: pearls and pitfalls. Radiographics 2010; 30(2): 413–28. <https://doi.org/10.1148/rg.302095131>
6. Betti M, Hoseini NH, Martin A, Buccoliero A, Messineo A, Ghionzoli M. Cervical thymic cyst in childhood: a case report. Fetal Pediatr Pathol 2015; 34(1): 65–69. <https://doi.org/10.3109/15513815.2014.966181>
7. Iqbal SM, Garg AK, Dubey A. Cervical thymic cyst—a case report. Indian J Otolaryngol Head Neck Surg 2005; 57(1): 67–68.
8. Hsieh YY, Hsueh S, Hsueh C, et al. Pathological analysis of congenital cervical cysts in children: 20 years of experience at Chang Gung memorial hospital. Chang Gung Medical Journal 2003; 26(2): 107–13.
9. Tandon A, Tandon R, Chandrashekhar M, Das P, Bansal B, Bhatia N. Cervical ectopic thymic cyst: a rare preoperative diagnosis. BMJ Case Rep 2011; 2011: pii: bcr052011425010.
10. Bang MH, Shin J, Lee KS, Kang MJ. Intrathyroidal ectopic thymus in children: A benign lesion. Medicine (Baltimore) 2018; 97(14): e0282. <https://doi.org/10.1097/MD.0000000000010282> <PubMed>
11. Kabaalioğlu A, Öztek MA, Kesimal U, Çeken K, Durmaz E, Apaydın A. Intrathyroidal ectopic thymus in children: a sonographic survey. Med Ultrason 2017; 19(2): 179–84. <https://doi.org/10.11152/mu-913>
12. Avula S, Daneman A, Navarro OM, Moineddin R, Urbach S, Daneman D. Incidental thyroid abnormalities identified on neck US for non-thyroid disorders. Pediatr Radiol 2010; 40(11): 1774–80. <https://doi.org/10.1007/s00247-010-1684-9>
13. Kim HG, Kim MJ, Lee MJ. Sonographic appearance of intrathyroid ectopic thymus in children. J Clin Ultrasound 2012; 40(5): 266–71. <https://doi.org/10.1002/jcu.21898>
14. Millman B, Pransky S, Castillo J 3rd, Zipfel TE, Wood WE. Cervical thymic anomalies. Int J Pediatr Otorhinolaryngol 1999; 47(1): 29–39. <https://doi.org/10.1016/S0165-5876(98)00170-0>
15. Prasad KK, Gupta RK, Jain M, Kar DK, Agarwal G. Cervical thymic cyst: report of a case and review of the literature. Indian J Pathol Microbiol 2001; 44(4): 483–5.
16. LaPlante JK, Pierson NS, Hedlund GL. Common pediatric head and neck congenital/developmental anomalies. Radiol Clin North Am 2015; 53(1): 181–96. <https://doi.org/10.1016/j.rcl.2014.09.006>
17. Strollo DC, Rosado-de-Christenson ML. Tumors of the thymus. J Thorac Imaging 1999; 14(3): 152–71. <https://doi.org/10.1097/00005382-199907000-00002>
18. Kumar V, Abbas A, Fausto N. Robbins and Cotran: Pathologic Basis of Disease. Philadelphia, PA: Elsevier Saunders; 2005.
19. Oztürk H, Karnak I, Deveci S, Sürer I, Cetinkursun S. Multilocular cervical thymic cyst: an unusual neck mass in children. Int J Pediatr Otorhinolaryngol 2001; 61(3): 249–52. <https://doi.org/10.1016/S0165-5876(01)00542-0>
20. Jaiswal AA, Garg AK, Ravindranath M, Mohanty MK. Multi loculated cervical thymic cyst – case report with review of literature. Egypt J Ear Nose Throat Allied Sci 2014; 15(2): 129–33. <https://doi.org/10.1016/j.ejenta.2013.12.003>
21. Hazmiri FE, Nachite F, Skandour D, Raji A, El Ganouni NCI, Rais H. Lateral cervical thymic cyst in a child: a case report. BMC Res Notes 2018; 11(1): 85. <https://doi.org/10.1186/s13104-018-3208-x> <PubMed>
22. Shenoy V, Kamath MP, Hegde MC, Rao Aroor R, Maller VV. Cervical thymic cyst: a rare differential diagnosis in lateral neck swelling. Case Rep Otolaryngol 2013; 2013: 350502.
23. Nguyen Q, deTar M, Wells W, Crockett D. Cervical thymic cyst: case reports and review of the literature. Laryngoscope 1996; 106(3 Pt 1): 247–52. <https://doi.org/10.1097/00005537-199603000-00001>
24. Srivalli M, Qaiyum HA, Srinivas Moorthy PN, Srikanth K. A case report of cervical thymic cyst and review of literature. Indian J Otolaryngol Head Neck Surg 2011; 63(1): 93–5. <https://doi.org/10.1007/s12070-010-0092-7> <PubMed>
25. Wagner CW, Vinocur CD, Weintraub WH, Golladay ES. Respiratory complications in cervical thymic cysts. J Pediatr Surg 1988; 23(7): 657–60. <https://doi.org/10.1016/S0022-3468(88)80640-7>
26. Eifinger F, Hekmat K, Huenseler C, Vierzig A, Roth B. Life-threatening bleeding from thymic cysts in a newborn. Arch Dis Child Fetal Neonatal Ed 2007; 92(5): F371. <https://doi.org/10.1136/adc.2006.113209> <PubMed>
27. Statham MM, Mehta D, Willging JP. Cervical thymic remnants in children. Int J Pediatr Otorhinolaryngol 2008; 72(12): 1807–13. <https://doi.org/10.1016/j.ijporl.2008.08.013>
28. Ballal HS, Mahale A, Hegde V, Shetty R, Bhavikatti M. Cervical thymic cyst. Indian J Radiol Imaging 1999; 9: 187–9.
29. Tomiyama N, Honda O, Tsubamoto M, et al. Anterior mediastinal tumors: diagnostic accuracy of CT and MRI. Eur J Radiol 2009; 69(2): 280–8. <https://doi.org/10.1016/j.ejrad.2007.10.002>
30. Tovi F, Mares AJ. The aberrant cervical thymus. Embryology, Pathology, and clinical implications. Am J Surg 1978; 136(5): 631–7. <https://doi.org/10.1016/0002-9610(78)90324-0>
31. Tunkel DE, Erozan YS, Weir EG. Ectopic cervical thymic tissue: diagnosis by fine needle aspiration. Arch Pathol Lab Med 2001; 125(2): 278–81.
front cover

ISSN 1211-4286 (Print) ISSN 1805-9694 (Online)

Archive