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Cervical thymic cyst, a case report and review of the literature  [cached]
Mohammad Hossein Sanei,Nezameddin Berjis,Alireza Mesbah
Journal of Research in Medical Sciences , 2006,
Abstract: Cervical thymic cyst is not a common pathology encountered in either an adult or a child. Our case presentation is of an infant girl with a right cervical soft mass. It was totally resected and histological analysis revealed a thymic cyst. The diagnosis of thymic cyst is not possible prior to histological examination. Therefore, in children the disorder should be considered as a differential diagnosis of each cervical soft tissue mass and evaluation of mediastinum should be done for the presence of thymic tissue. KEY WORDS: Cervical thymic cyst, neck mass, children.
Multiloculated cervical thymic cyst  [cached]
Niranjan J,Santosh K,Prabhakar G
Journal of Indian Association of Pediatric Surgeons , 2011,
Abstract: In this study, we report a rare case of cervical thymic cyst in an 8-year-old child.
Cervical Thymic Cyst Mimicking Laryngocele  [PDF]
Kayhan Ozturk,Cagdas Elsurer,Serap Bulut,Mutlu Duran,Serdar Ugras
Case Reports in Otolaryngology , 2013, DOI: 10.1155/2013/839406
Abstract: Cervical thymic cysts are nearly 0.3% of all congenital cervical cysts. Thymic cysts are asymptomatic, but they rarely complain of dysphagia or tracheal obstruction symptoms. A soft, mobile, and painless mass increasing with valsalva maneuver directs the diagnosis of laryngocele. There has not been any study in the literature in which thymic cyst presenting like laryngocele. We hereby present a case of thymic cyst mimicking laryngocele that has not been reported so far. 1. Introduction Thymic cysts are rare lesions and may occur anywhere from mandible to mediastinum, along with the migration path of the thymus. However, they are mostly seen in the mediastinum. Thymic cysts are generally misdiagnosed as branchial cyst and cystic hygroma, since they may cause almost similar symptoms to cervical cysts. However, a thymic cyst mimicking a laryngocele is extremely unusual. We herein present a boy with a cervical thymic cyst mimicking laryngocele. To the best of our knowledge, this is the first case in the literature showing that a cervical thymic cyst presenting as a laryngocele in childhood age. 2. Case Report A 7-year-old patient admitted to our clinic with a painless mass on the right side of the neck, which was 2?cm in diameter (Figure 1). The detailed anamnesis revealed that the swelling occurred suddenly a few years ago and progressively increased in size thereafter. The patient did not have any other symptoms except for the sudden swelling. Physical examination disclosed a soft, mobile, and painless mass on the right side of the neck. With valsalva maneuver, it was observed that the mass increased in size and became visible (Figure 2). The patient did not complain of dysphagia, stridor, or dyspnea. Systemic physical examination was within normal limits. A successive computed tomography (CT) scan and magnetic resonance imaging (MRI) was performed which disclosed a cystic mass extending into the right hemithorax. Additionally in MRI, the cyst was in relation to the larynx (Figure 3). Based on the aforementioned clinical and radiological examinations, the patient was operated on with a preoperative diagnosis of a laryngocele. During the surgery, a 6?cm long horizontal skin incision beginning from the 4?cm superior of the right clavicle was performed. The cystic mass was made visible by dissecting the sternocleidomastoid muscle laterally and the platysma. The cervical part of the mass was dissected from the surrounding structures. It was seen that the mass was in very close proximity to the pyriform sinus, jugular vein, and internal carotid artery.
Cervical thymic cyst--(a case report).
Vora U,Raut V,Kirtane M,Ingle M
Journal of Postgraduate Medicine , 1989,
Case Report: CT diagnosis of thymic remnant cyst/thymopharyngeal duct cyst  [cached]
Daga Bipin,Chaudhary V,Dhamangaokar V
Indian Journal of Radiology and Imaging , 2009,
Abstract: A 4-year-old boy presented with history of left anterolateral neck swelling since birth. He was clinically diagnosed to have a branchial cleft cyst. A CT scan revealed findings suggestive of a thymic remnant cyst. The lesion was excised and the diagnosis was confirmed by histopathology.
Calcified multilocular thymic cyst associated with thymoma: a case report
Hafsa Elouazzani, Fouad Zouaidia, Ahmed Jahid, Laila Laraqui, Zakiya Bernoussi, Najat Mahassini
Journal of Medical Case Reports , 2011, DOI: 10.1186/1752-1947-5-225
Abstract: A 50-year-old Berber woman from Morocco was admitted with a chronic cough of more than 10 years duration. Her medical history and physical examination were normal. Anterior chest radiography demonstrated a calcified opacity in her right anterior mediastinum. A chest-computed tomogram revealed a round cystic tumor, with significant calcification in her right anterior mediastinum. A surgical exploration was performed. The tumor seemed to be a well-encapsulated and totally calcified lesion, arising from the right lobe of her thymus. It was removed by partial resection of her thymus. Through histology, the calcified tumor exhibited some areas of multilocular fibrous-wall cysts. These cysts were partially lined by small cuboidal cells with severe chronic inflammation and an AB thymoma that arose from the wall of the cyst.Greater attention should be given to multilocular thymic cysts, to exclude the possibility of neoplasm, especially when the cyst wall is thickened.Multilocular thymic cysts are uncommon lesions of the anterior mediastinum. On a regular histopathology examination, they show significant inflammation and fibrosis that can be associated with thymic neoplasm such as thymoma or thymic carcinoma. It is worth noting that an association between thymoma and multilocular thymic cysts has hardly ever been observed. However, the possibility of other cystic thymic lesions, essentially cystic degeneration of thymoma, must always be considered [1].We report an unusual AB thymoma case of a 50-year-old woman in the wall of a calcified multilocular thymic cyst. Our study suggests that difficulties related to the diagnosis have been noted, and we advise that special attention be given to every anterior mediastinal cystic lesion.A 50-year-old Moroccan Berber woman was admitted with a chronic cough that has been going on for more than 10 years, without history of smoking or neoplasm. On admission, her physical examination and routine biochemical tests were within normal limit
Primary Cervical Paraspinal Hydatid Cyst: A Case  [PDF]
Journal of Neurological Sciences , 2011,
Abstract: Hydatid disease is a parasitic infection that usually involves liver and lungs. Hydatid cysts of the head and neck are rare, even in countries where echinococcal infestation is endemic. This report presents one patient with hydatid cyst, diagnosed using computed tomography, in whom the cysts were located between cervical paravertebral muscles. The purulent cyst content was aspirated and the thick cyst wall was totally excised. We did not experience any recurrences in our case which we had performed cyst aspiration with removal of the cyst capsule.
Cervical Ectopic Pregnancy following Assisted Reproductive Technology: A Case Report  [PDF]
Firoozeh Ahmadi,Shohreh Irani
International Journal of Fertility & Sterility , 2012,
Abstract: Cervical ectopic pregnancy (EP) is an infrequent, life-threatening form of ectopic gestationpregnancy that implants within the endocervical canal. With the increase in use of assistedreproductive technology (ART) worldwide and more liberal use of transvaginal sonography (TVS)during early pregnancy, more cases of cervical ectopic pregnancy are being diagnosed. Earlydiagnosis of this condition by using ultrasound imaging allows for prevention of maternal morbiditydue to hemorrhage and leads to conservative management of this condition.We present the case ofa 38-year old woman (gravida 1, para 0) who was found to have acervical ectopic pregnancy at sixweeks of gestation.
Ectopic cervical thymoma in a patient with Myasthenia gravis
Ti Wu, Jong Jin, Tsai Huang, Hung Chang, Shih Lee
Journal of Cardiothoracic Surgery , 2011, DOI: 10.1186/1749-8090-6-89
Abstract: Ectopic cervical thymomas are very rare and often present as palpable neck masses. Ectopic cervical thymoma presenting in patients with MG is even rarer and only two other cases have been reported in the literature [1,2]. The diagnosis is very difficult to make and has a major diagnostic pitfall. Extended thymectomy offered a good result for these patients. Herein we present a case of ectopic cervical thymoma associated with MG.A 58-year-old woman presented to our Neurology department with ptosis that had persisted for 4 months. A physical examination revealed a palpable cervical mass. Repetitive nerve stimulation testing revealed abnormally decreasing responses and the acetylcholine receptor antibody titer in the patient's serum was elevated (8.6 nmol/L, normal <0.2 nmol/L). Other laboratory examinations were unremarkable, including thyroid function tests and tests for autoimmune diseases. She was diagnosed with MG and received pyridostigmine treatment (180 mg/day). Computed tomography (CT) of her chest revealed one well- circumscribed, homogeneous mass of soft tissue measuring 2.6 × 2.5 × 1.6 cm at the lower pole of the left thyroid gland (Figure 1). The fat plane between the thyroid gland and the tumor was clear. The patient was subsequently referred to our thoracic surgery department and underwent extended transcervical thymomectomy and transsternal thymectomy. A well-encapsulated soft multi-lobulated tumor measuring 3 × 3 × 1.5 cm was found separately from the thoracic thymic gland, located between the upper pole of the left thymus gland and lower pole of the left thyroid gland (Figure 2). The cut surface of the tumor was tan-colored with no areas of necrosis. A total of 40 gm of thymic tissue was removed additionally. The anatomopathological examination of the sample using optical microscopy and immunohistochemical tests confirmed the diagnosis of an ectopic thymoma (Figure 3). The microscopy demonstrated the tumor comprised a mixture of lymphocyte-poor spindl
Hodgkin Lymphoma in a Thymic Cyst: Report of a Case with Multiple Secondary Neoplasms
Saeeda Almarzooqi,Sue Hammond,Samir B. Kahwash
Case Reports in Medicine , 2010, DOI: 10.1155/2010/795037
Abstract: The presentation of Hodgkin Lymphoma in a thymic cyst is rare. We describe a case in a 9 year-old boy, with a long follow-up course, complicated by two secondary neoplasms and a post bone marrow transplant lymphoproliferative disorder. We also review the literature on such presentations and second malignant neoplasms in childhood.
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