Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass

Background: Thymic epidermoid cysts are very rare. These masses arise from migration of ectodermal cells into the tissue that does not contain these cells. The imaging findings are non-specific and surgical excision is required to reach definitive diagnosis. Case description: We describe an asympto...

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Main Authors: Reza Afghani, Roozbeh Cheraghali, Mahshid Mehrjerdian, Hanieh Raghimi, Sina Mohajernoei
Format: Article
Language:English
Published: Golestan University Of Medical Sciences 2021-04-01
Series:Journal of Clinical and Basic Research
Subjects:
Online Access:http://jcbr.goums.ac.ir/article-1-306-en.html
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author Reza Afghani
Roozbeh Cheraghali
Mahshid Mehrjerdian
Hanieh Raghimi
Sina Mohajernoei
author_facet Reza Afghani
Roozbeh Cheraghali
Mahshid Mehrjerdian
Hanieh Raghimi
Sina Mohajernoei
author_sort Reza Afghani
collection DOAJ
description Background: Thymic epidermoid cysts are very rare. These masses arise from migration of ectodermal cells into the tissue that does not contain these cells. The imaging findings are non-specific and surgical excision is required to reach definitive diagnosis. Case description: We describe an asymptomatic woman in her early 40s with an anterior mediastinal mass detected in the spiral chest CT scan for COVID 19. She underwent thymectomy and the histopathological exam revealed a dermoid cyst in thymus gland. Conclusion: The dermoid cysts etiology is unknown and there are many unproven theories. The clinical sign, symptoms and location of the cyst can be variable. Our case was asymptomatic and the cyst was accidently found in the imaging. The initial diagnosis was a thymoma and at the patient’s insistence, cystectomy was performed and pathological findings indicated a thymic dermoid cyst.
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spelling doaj.art-a1e61b861a454ed6a74fd7849ad7c47c2022-12-30T17:25:42ZengGolestan University Of Medical SciencesJournal of Clinical and Basic Research2538-37362021-04-01521316Thymic Dermoid Cyst: A Rare Anterior Mediastinal MassReza Afghani0Roozbeh Cheraghali1Mahshid Mehrjerdian2Hanieh Raghimi3Sina Mohajernoei4 School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran Department of Pathology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran Background: Thymic epidermoid cysts are very rare. These masses arise from migration of ectodermal cells into the tissue that does not contain these cells. The imaging findings are non-specific and surgical excision is required to reach definitive diagnosis. Case description: We describe an asymptomatic woman in her early 40s with an anterior mediastinal mass detected in the spiral chest CT scan for COVID 19. She underwent thymectomy and the histopathological exam revealed a dermoid cyst in thymus gland. Conclusion: The dermoid cysts etiology is unknown and there are many unproven theories. The clinical sign, symptoms and location of the cyst can be variable. Our case was asymptomatic and the cyst was accidently found in the imaging. The initial diagnosis was a thymoma and at the patient’s insistence, cystectomy was performed and pathological findings indicated a thymic dermoid cyst.http://jcbr.goums.ac.ir/article-1-306-en.htmldermoid cysthistopathologymediastinal mass thymus
spellingShingle Reza Afghani
Roozbeh Cheraghali
Mahshid Mehrjerdian
Hanieh Raghimi
Sina Mohajernoei
Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass
Journal of Clinical and Basic Research
dermoid cyst
histopathology
mediastinal mass thymus
title Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass
title_full Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass
title_fullStr Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass
title_full_unstemmed Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass
title_short Thymic Dermoid Cyst: A Rare Anterior Mediastinal Mass
title_sort thymic dermoid cyst a rare anterior mediastinal mass
topic dermoid cyst
histopathology
mediastinal mass thymus
url http://jcbr.goums.ac.ir/article-1-306-en.html
work_keys_str_mv AT rezaafghani thymicdermoidcystarareanteriormediastinalmass
AT roozbehcheraghali thymicdermoidcystarareanteriormediastinalmass
AT mahshidmehrjerdian thymicdermoidcystarareanteriormediastinalmass
AT haniehraghimi thymicdermoidcystarareanteriormediastinalmass
AT sinamohajernoei thymicdermoidcystarareanteriormediastinalmass