Khochtali H, Guessous M, Mokni M, Tlili K, Mansouri N, Bakir A
Service de Stomatologie et Chirurgie Maxillo-faciale, CHU Sahloul, Sousse, Tunisie.
Rev Stomatol Chir Maxillofac. 1997 Dec;98(5):316-20.
Cervical thymic cyst is an uncommon lesion. It is usually diagnosed after cervicotomy for lateral swelling of the neck. We present a case in a 12-year-old boy. Clinical diagnosis was cystic hygroma, but computed tomography revealed extension of the cyst to the anterior mediastinum, suggesting its thymic origin. Successful excision was performed through a neck incision alone. There has been no recurrence of the cyst nor immune deficiency within a 2-year follow-up. Pathogenesis and diagnostic modalities are discussed.
颈部胸腺囊肿是一种罕见的病变。它通常在因颈部外侧肿胀进行颈部切开术后被诊断出来。我们报告一例12岁男孩的病例。临床诊断为淋巴管瘤,但计算机断层扫描显示囊肿延伸至前纵隔,提示其起源于胸腺。仅通过颈部切口就成功切除了囊肿。在2年的随访中,囊肿未复发,也没有免疫缺陷。本文讨论了其发病机制和诊断方法。