Peel John K, Prisman Eitan, Ng Tony L, McGuire Anna L
Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Division of Otolaryngology, Department of Surgery, Vancouver General Hospital, Vancouver, Canada.
J Thorac Dis. 2017 Dec;9(12):E1050-E1053. doi: 10.21037/jtd.2017.10.141.
Ectopic thymoma in the neck is a rare phenomenon, with fewer than 20 cases reported worldwide. Evidence for management of ectopic thymoma comes from literature for mediastinal thymoma despite clinical features that distinguish the two. Here we present a case of a 31-year-old female with an asymptomatic neck mass who was found to have an ectopic cervical thymoma with concomitant mediastinal thymic hyperplasia. The decision was made to perform a left-sided neck dissection and a video-assisted thoracoscopic surgery (VATS) thymectomy. We suggest that this approach be considered for a minimally invasive management of this rare but important condition.
颈部异位胸腺瘤是一种罕见现象,全球报道的病例少于20例。尽管异位胸腺瘤和纵隔胸腺瘤的临床特征有所不同,但异位胸腺瘤的治疗证据仍来自纵隔胸腺瘤的文献。本文报告一例31岁女性,无症状颈部肿块,经检查发现为异位颈段胸腺瘤并伴有纵隔胸腺增生。决定行左侧颈部清扫术及电视辅助胸腔镜手术(VATS)胸腺切除术。我们建议,对于这种罕见但重要的疾病,可考虑采用这种微创治疗方法。