PDF(Pubmed)
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.
摘要：
颈部肿块常见于儿童。鉴别诊断包括传染性，先天性和肿瘤性病变。我们报告了一例罕见的胸腺颈部肿块的男孩，在他的童年中期，有左前外侧颈部肿块的病史，与发烧无关。吞咽困难或呼吸急促。放射学评估显示有一张胸腺咽管囊肿的照片。胸腺残留和胸腺咽管囊肿是由闭塞失败引起的，在儿童中可能表现为颈外侧肿块。最有效的治疗方法是全手术切除。这种特殊情况凸显了临床医生在评估患有颈部肿块的儿科患者时，对广泛的鉴别诊断有高度怀疑的重要性。此外,我们强调始终将咽部囊肿作为鉴别诊断的重要性.
