title: Diagnosis and Management of Cervical Thymic Cysts in Children.
abstract: We present the case of a 10-year-old boy with the sudden onset of a large, painless left neck mass. Findings on magnetic resonance imaging (MRI) and fine needle aspiration (FNA) biopsy suggest a cystic lesion, most likely of thymic origin. Cervical thymic cysts are a rare form of cervical mass, which are easily overlooked in the differential diagnosis of children presenting with painless neck masses. A combination of CT and MRI investigations can be helpful in differentiating thymic cysts from other congenital and neoplastic masses, but the definitive diagnosis of thymic cyst requires histopathological documentation of thymic tissue. Surgical excision is considered the management of choice for thymic cysts, and no cases of postoperative recurrence have been reported.
authors.affiliation: Department of Otolaryngology, University of Pittsburgh Medical Center ; Medical Scientist Training Program, University of Pittsburgh School of Medicine.
authors.forename: Joshua J
authors.initials: JJ
authors.lastname: Sturm
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery, Emory University School of Medicine.
authors.forename: Kavita
authors.initials: K
authors.lastname: Dedhia
authors.affiliation: Department of Pediatric Otolaryngology, Children's Hospital of UPMC.
authors.forename: David H
authors.initials: DH
authors.lastname: Chi
keywords: cervical thymic cyst; pediatric neck mass; pediatric otolaryngology