Alomar Khaled, Alrahil Ali, Omar Walat, Rastanawi Alhasan, Alshaikh Naser
Damascus University- University pediatric Hospital.
Department of Thoracic Surgery, Damascus Hospital, Damascus, Syria.
Int J Surg Case Rep. 2025 Jan;126:110696. doi: 10.1016/j.ijscr.2024.110696. Epub 2024 Dec 2.
Thymic cysts are rare, located in the middle mediastinum, and are often asymptomatic and discovered incidentally. When they are symptomatic, the symptoms are often due to the effect of the mass, and complete surgical excision is preferred to avoid the risk of complications following their persistence.
We present a case of a patient who had recurrent dyspnea and was later diagnosed with a cystic formation in the middle mediastinum by radiological investigations and successfully treated through a neck incision and completely resected.
Many physicians fail to include these cysts in the differential diagnosis of cystic lesions in the middle mediastinum, thus missing the opportunity to successfully manage these benign formations.
The neck incision is considered suitable and has less surgical trauma and less injury than the previously used transthoracic surgical approaches and therefore may be used in the future for the resection of middle mediastinum lesions in general.
胸腺囊肿罕见，位于中纵隔，通常无症状，多为偶然发现。当出现症状时，症状往往源于肿块的影响，首选完整手术切除以避免囊肿持续存在引发并发症的风险。
我们报告一例患者，该患者反复出现呼吸困难，经影像学检查后被诊断为中纵隔囊性肿物，通过颈部切口成功治疗并完整切除。
许多医生在中纵隔囊性病变的鉴别诊断中未将这些囊肿纳入，从而错失成功处理这些良性肿物的机会。
颈部切口被认为是合适的，与先前使用的经胸手术方法相比，手术创伤更小、损伤更小，因此未来一般可用于中纵隔病变的切除。
