Öz
Cervical ectopic thymus (CET) is a rare cause of cervical mass in childhood. The aim of this study is to present two CET cases that were referred to our clinic with cervical swelling in neonatal period. Two cases who had painless swelling in left upper cervical region beginning from the neonatal period were evaluated. In both cases, a soft non-fluctuant painless swelling in the palpation was detected in the physical examination. To exclude the malign mass, tissue sampling was planned. The masses were excised totally. As a result of pathological examination it was reported as ectopic thymus tissue. No complaint was recorded during the postoperative period. CET should be taken into consideration in the neonatal cases applying with cervical swelling. It is rare and not easy to establish a definitive diagnosis, tissue sampling should be considered for the exclusion of other diagnoses.
Anahtar Kelimeler
Kaynakça
- Wang J, Fu H, Yang H, et al. Clinical management of cervical ectopic thymus in children. J Pediatr Surg 2011;46(8):E33-E36.
- Song I, Yoo SY, Kim JH, et al. Aberrant cervical thymus: Imaging and clinical findings in 13 children. Clin Radiol 2011;66(1):38-42.
- Han BK, Yoon HK, Yuh LS. Thymic ultrasound: Diagnosis of aberant cervical thymus. Pediatr Radiol 2001;31(7):480-7.
- Schloegel LJ, Gottschall JA. Ectopic servical thymus: Is empric surgical excision necessary? Int J Pediatr Otorhinolaryngol 2009;73(3):475-9.
- Koumanidou C, Vakaki M, Theophanopoulou M, et al. Aberrant thymus in infants: Sonographic evaluation. Pediatr Radiol 1998;28(12):987-9.
- Slovis TL, Meza M, Kuhn JP. Aberrant thymus - MR assessment. Pediatr Radiol 1992;22(7):490-4.
- Bale PM, Sotelo-Avila C. Maldescent of the thymus: 34 necropsy and 10 surgical cases, including 7 thymuses medial to the mandible. Pediatr Pathol 1993;13(6):181-90.
- Kotani H, Ishida T, Miyao M, et al. Ectopic cervical thymus: A clinicopathological study of consecutive, unselected infant autopsies. Int J Pediatr Otorhinolaryngol 2014;78(11):1917-22.
- Zielke AM, Swischuk LE, Hernandez JA. Ectopic cervical thymic tissue: Can imaging obviate biopsy and surgical removal? Pediatr Radiol 2007;37(11):1174-7.
- Bilateral ectopic cervical thymus presenting as a neck mass: Ultrasound and magnetic resonance imaging. Pediatr Int 2016;58(9):943-5.
Öz
Servikal ektopik timus (SET) çocukluk çağı servikal kitlelerinin nadir nedenlerinden birisidir. Bu çalışmada kliniğimize yenidoğan döneminde servikal şişlik nedeni ile başvuran iki SET olgusunun sunulması amaçlandı. Yenidoğan döneminden itibaren sol üst servikal bölgede ağrısız şişlik ile başvuran iki olgu değerlendirildi. Her iki olguda, fiziksel muayenede; palpasyonda yumuşak, fluktuasyon vermeyen ağrısız şişlik mevcuttu. Olgulara malign kitlelerin ekartasyonu amacı ile doku örneklemesi planlandı. Kitleler tümü ile çıkarıldı. Patolojik inceleme sonucu ektopik timus dokusu olarak raporlandı. Her iki olgunun, operasyon sonrası izleminde herhangi bir yakınması mevcut değildi. SET servikal şişlik ile başvuran yenidoğan olgularda akılda bulundurulmalıdır. Nadir olması ve kesin tanıya kolay ulaşılamaması nedeni ile diğer tanıların ekartasyonu amacı ile doku örneklemesi planlanmalıdır.
Anahtar Kelimeler
Kaynakça
- Wang J, Fu H, Yang H, et al. Clinical management of cervical ectopic thymus in children. J Pediatr Surg 2011;46(8):E33-E36.
- Song I, Yoo SY, Kim JH, et al. Aberrant cervical thymus: Imaging and clinical findings in 13 children. Clin Radiol 2011;66(1):38-42.
- Han BK, Yoon HK, Yuh LS. Thymic ultrasound: Diagnosis of aberant cervical thymus. Pediatr Radiol 2001;31(7):480-7.
- Schloegel LJ, Gottschall JA. Ectopic servical thymus: Is empric surgical excision necessary? Int J Pediatr Otorhinolaryngol 2009;73(3):475-9.
- Koumanidou C, Vakaki M, Theophanopoulou M, et al. Aberrant thymus in infants: Sonographic evaluation. Pediatr Radiol 1998;28(12):987-9.
- Slovis TL, Meza M, Kuhn JP. Aberrant thymus - MR assessment. Pediatr Radiol 1992;22(7):490-4.
- Bale PM, Sotelo-Avila C. Maldescent of the thymus: 34 necropsy and 10 surgical cases, including 7 thymuses medial to the mandible. Pediatr Pathol 1993;13(6):181-90.
- Kotani H, Ishida T, Miyao M, et al. Ectopic cervical thymus: A clinicopathological study of consecutive, unselected infant autopsies. Int J Pediatr Otorhinolaryngol 2014;78(11):1917-22.
- Zielke AM, Swischuk LE, Hernandez JA. Ectopic cervical thymic tissue: Can imaging obviate biopsy and surgical removal? Pediatr Radiol 2007;37(11):1174-7.
- Bilateral ectopic cervical thymus presenting as a neck mass: Ultrasound and magnetic resonance imaging. Pediatr Int 2016;58(9):943-5.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2018 |
| Gönderilme Tarihi | 19 Aralık 2016 |
| Yayımlandığı Sayı | Yıl 2018 |