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Thymopharyngeal Duct Cyst: A Case Presentation and Literature Review

โœ Scribed by Arjuna B. Kuperan; Huma A. Quraishi; Anup J. Shah; Neena Mirani

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
663 KB
Volume
120
Category
Article
ISSN
0023-852X

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โœฆ Synopsis

The differential diagnosis of a lateral cystic neck mass includes branchial cleft cysts and lymphangiomas. Cervical thymic cysts are rare, and thymopharyngeal duct cysts, which maintain a connection to the pharynx, are rarer still. We present an interesting case of a 6 year-old male who developed acute onset of a left-sided neck mass. CT and MRI findings revealed a multiloculated cyst closely associated with the left lobe of the thyroid gland with a tract extending up along the carotid sheath to the pyriform sinus. Complete surgical excision was performed. The anatomic location and pathology were consistent with a thymopharyngeal duct cyst.

The embryology, clinical presentation, radiologic and pathologic findings, and surgical management of thymopharyngeal duct cysts will be discussed.

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