Solid ectopic cervical thymus in an infant
Introduction. Ectopic cervical thymus (ECT) occurs as a result of incomplete migration of the thymic primordia during embryogenesis. In the majority of cases, ECT is asymptomatic; however, in 10% of patients, there are different kinds of symptoms. Case report. A four-month-old baby boy was referred...
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| Format: | Article |
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Military Health Department, Ministry of Defance, Serbia
2023-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300020V.pdf |
| _version_ | 1797393649962582016 |
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| author | Vlahović Aleksandar Živković Milana Majić Velibor Badnjar-Ilić Zorka Begović Ninoslav Dizdarević Ivan |
| author_facet | Vlahović Aleksandar Živković Milana Majić Velibor Badnjar-Ilić Zorka Begović Ninoslav Dizdarević Ivan |
| author_sort | Vlahović Aleksandar |
| collection | DOAJ |
| description | Introduction. Ectopic cervical thymus (ECT) occurs as a result of incomplete migration of the thymic primordia during embryogenesis. In the majority of cases, ECT is asymptomatic; however, in 10% of patients, there are different kinds of symptoms. Case report. A four-month-old baby boy was referred to our clinic for an evaluation of a growing large mass on the right side of the neck, present since birth. Physical examination revealed a solid, painless, soft, moderately mobile mass of irregular round shape localized on the right side of the neck, in front of the sternocleidomastoid muscle, below the parotid gland, and above the carotid lodge. The skin above the mass was unchanged. The dimensions of the mass were 40 × 32 × 15 mm. Based on the clinical and ultrasonographic findings, as well as the findings of the magnetic resonance imaging, it was suspected that the mass was an ECT. The mass was removed by surgical excision. The pathohistology report confirmed the presence of an ECT, with Hassall’s corpuscles in the medulla. The postoperative course went smoothly, and the wound healed well. During the regular clinical, immunological, and ultrasound follow-ups over a period of six months, normal findings were registered. Conclusion. Congenital ECT is a rare congenital anomaly that must be, however, taken into account when considering the differential diagnosis of cervical tumor masses. |
| first_indexed | 2024-03-09T00:06:52Z |
| format | Article |
| id | doaj.art-1225d45f6f2442628db14a72541e51da |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-03-09T00:06:52Z |
| publishDate | 2023-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-1225d45f6f2442628db14a72541e51da2023-12-12T13:09:30ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-0180978979310.2298/VSP221205020V0042-84502300020VSolid ectopic cervical thymus in an infantVlahović Aleksandar0https://orcid.org/0000-0003-2168-5400Živković Milana1https://orcid.org/0000-0001-7885-467XMajić Velibor2Badnjar-Ilić Zorka3Begović Ninoslav4https://orcid.org/0000-0002-5440-5404Dizdarević Ivan5https://orcid.org/0000-0002-2425-4916University of Belgrade, Faculty of Medicine, Belgrade, Serbia + Institute for Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Department of Plastic Surgery and Burns, Belgrade, Serbia University Clinical Center of Serbia, Clinic for Burns, Plastic, and Reconstructive Surgery, Belgrade, SerbiaInstitute for Children’s Disease, Clinic for Pediatric Surgery, Podgorica, MontenegroInstitute for Children’s Disease, Clinic for Radiology, Podgorica, MontenegroUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + Institute for Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Department of Orthopedics and Traumatology, Belgrade, Serbia Institute for Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Department of Pediatric Cardiac Surgery, Belgrade, SerbiaIntroduction. Ectopic cervical thymus (ECT) occurs as a result of incomplete migration of the thymic primordia during embryogenesis. In the majority of cases, ECT is asymptomatic; however, in 10% of patients, there are different kinds of symptoms. Case report. A four-month-old baby boy was referred to our clinic for an evaluation of a growing large mass on the right side of the neck, present since birth. Physical examination revealed a solid, painless, soft, moderately mobile mass of irregular round shape localized on the right side of the neck, in front of the sternocleidomastoid muscle, below the parotid gland, and above the carotid lodge. The skin above the mass was unchanged. The dimensions of the mass were 40 × 32 × 15 mm. Based on the clinical and ultrasonographic findings, as well as the findings of the magnetic resonance imaging, it was suspected that the mass was an ECT. The mass was removed by surgical excision. The pathohistology report confirmed the presence of an ECT, with Hassall’s corpuscles in the medulla. The postoperative course went smoothly, and the wound healed well. During the regular clinical, immunological, and ultrasound follow-ups over a period of six months, normal findings were registered. Conclusion. Congenital ECT is a rare congenital anomaly that must be, however, taken into account when considering the differential diagnosis of cervical tumor masses.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300020V.pdfcongenital abnormalitiesdiagnosis, differentialinfantsurgical procedures, operativethymus gland |
| spellingShingle | Vlahović Aleksandar Živković Milana Majić Velibor Badnjar-Ilić Zorka Begović Ninoslav Dizdarević Ivan Solid ectopic cervical thymus in an infant Vojnosanitetski Pregled congenital abnormalities diagnosis, differential infant surgical procedures, operative thymus gland |
| title | Solid ectopic cervical thymus in an infant |
| title_full | Solid ectopic cervical thymus in an infant |
| title_fullStr | Solid ectopic cervical thymus in an infant |
| title_full_unstemmed | Solid ectopic cervical thymus in an infant |
| title_short | Solid ectopic cervical thymus in an infant |
| title_sort | solid ectopic cervical thymus in an infant |
| topic | congenital abnormalities diagnosis, differential infant surgical procedures, operative thymus gland |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300020V.pdf |
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