%0 Case Reports
%T Congenital cystic neck mass of thymic origin.
%A Almalki ZA
%A Alsheef H
%A Alnemari FS
%A Aljuaid SO
%J BMJ Case Rep
%V 17
%N 5
%D 2024 May 8
%M 38719243
暂无%R 10.1136/bcr-2023-256136
%X 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.