Department of Otolaryngology, Miller School of Medicine, University of Miami, Miami, FL, USA
Department of Otolaryngology, Miller School of Medicine, University of Miami, Miami, FL, USA.
BMJ Case Rep. 2021 Oct 8;14(10):e244187. doi: 10.1136/bcr-2021-244187.
Cervical thymic cysts (CTCs) represent 1% of all cervical cystic masses. A review of the literature found that CTCs are typically asymptomatic, with a propensity to be left sided. CTCs often require histological evaluation for diagnosis. A 27-year-old male patient presented to an outpatient otolaryngology clinic with worsening bilateral jaw and neck pain and an incidental right-sided neck mass found on cervical MRI. Preoperative differential diagnosis included venolymphatic malformation versus branchial cleft cyst. Histological examination of the excised specimen provided diagnosis of a CTC. Postoperatively, the patient reported improvement in cervical pain. CTCs are a rare cause of lateral neck mass in young adults. Typical presentation included neck enlargement with no symptoms or in some cases compressive symptoms. It is important to consider CTCs when formulating a differential for a lateral neck mass.
颈胸腺囊肿（CTCs）占所有颈囊性肿块的 1%。文献回顾发现，CTCs 通常无症状，倾向于左侧。CTCs 通常需要组织学评估来诊断。一名 27 岁男性患者因双侧颌颈疼痛加重和颈椎 MRI 发现右侧颈部肿块而到耳鼻喉科门诊就诊。术前鉴别诊断包括静脉淋巴管畸形与鳃裂囊肿。切除标本的组织学检查提供了 CTC 的诊断。术后，患者报告颈部疼痛有所改善。CTCs 是年轻人发生侧颈肿块的罕见原因。典型表现包括颈部增大，无任何症状，或在某些情况下出现压迫症状。在为侧颈肿块制定鉴别诊断时，应考虑 CTC。
