Duroux S, Guillard J M, Chateil J F, Pontailler J R, Vergnes P, Colombani J F, Bondonny J M
Service de Chirurgie Pédiatrique, Hôpital des Enfants, CHR de Bordeaux, France.
Pediatrie. 1993;48(4):301-4.
Cervical tumors of thymic origin are considered to be uncommon lesions in the differential diagnosis of neck masses. They can be either cystic or solid. The authors present one case of solid cervical thymic tumor in a 2 month-old baby. The embryogenesis of the thymus explains the cervical location of these tumors. Theories of physiopathology are presented. The clinical presentation is variable and their nature is often recognized only upon surgery and preoperative pathologic examination. Some cases of thymoma and respiratory complications resulting from ectopic thymus have been described in the literature, so that total excision of the mass must be performed. This lesion may be more common than suggested in the literature.
胸腺起源的颈部肿瘤在颈部肿块的鉴别诊断中被认为是罕见病变。它们可以是囊性或实性的。作者报告了一例2个月大婴儿的实性颈部胸腺肿瘤。胸腺的胚胎发生解释了这些肿瘤的颈部位置。文中介绍了其病理生理学理论。临床表现多样,其性质通常仅在手术及术前病理检查时才能明确。文献中已描述了一些胸腺瘤及异位胸腺导致的呼吸并发症病例,因此必须对肿块进行完整切除。这种病变可能比文献中所提示的更为常见。