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Aberrant cervical thymus mimicking a cervical mass.

L S Conwell1, J A Batch

  • 1Department of Endocrinology and Diabetes, Royal Children's Hospital, Brisbane, Queensland 4029, Australia. louise_conwell@health.qld.gov.au

Journal of Paediatrics and Child Health
|September 16, 2004
PubMed
Summary

A rare case of aberrant cervical thymic tissue in a child mimicked thyroid enlargement. Ultrasonography is key for diagnosing this uncommon cause of paediatric neck masses.

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Area of Science:

  • Pediatric Endocrinology
  • Head and Neck Surgery
  • Diagnostic Imaging

Background:

  • Aberrant cervical thymic tissue is a rare congenital anomaly.
  • It can present as a neck mass in children, often mimicking other conditions.
  • Accurate diagnosis is crucial to avoid unnecessary interventions.

Observation:

  • A 9-year-old female presented with a suprasternal neck mass.
  • The mass appeared to be an enlarged thyroid gland on initial examination.
  • Ultrasonography was performed for diagnostic evaluation.

Findings:

  • The ultrasonography revealed suprasternal extension of the thymus, not thyroid enlargement.
  • This confirmed the diagnosis of aberrant cervical thymic tissue.
  • The imaging successfully differentiated the thymic tissue from the thyroid gland.

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Implications:

  • Awareness of aberrant cervical thymic tissue is essential for pediatricians and surgeons.
  • This diagnosis can prevent patient anxiety and avoid inappropriate investigations or surgical procedures.
  • Ultrasonography is a valuable, non-invasive tool for diagnosing neck masses in children.