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Symptomatic Solid Ectopic Cervical Thymus in a 2-Month-Old Infant: Case Report
Nursultan Abakir1, Fakih Cihat Eravcı1, Ganime Dilek Emlik2
1Department of Otorhinolaryngology, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.
Insights
Ectopic cervical thymus (ECT) is a rare pediatric neck mass. This case highlights a symptomatic infant with submandibular ECT, emphasizing prompt diagnosis and surgical excision for favorable outcomes.
Area of Science:
- Pediatric Surgery
- Head and Neck Pathology
- Endocrinology
Background:
- Ectopic cervical thymus (ECT) is an uncommon congenital anomaly.
- While often asymptomatic, ECT can present with compressive symptoms.
- Solid forms of ECT are rare and typically symptomatic.
Observation:
- A case report of an infant presenting with shortness of breath due to a submandibular ectopic cervical thymus.
- Submandibular ECTs are frequently solid and large, predisposing to compressive issues.
- The infant experienced respiratory distress attributed to the neck mass.
Findings:
- Solid ectopic cervical thymus in the submandibular region can cause significant respiratory compromise in infants.
- Diagnostic considerations for pediatric neck masses must include ectopic cervical thymus.
- Surgical excision is crucial for managing symptomatic pediatric ECT.
Implications:
- Highlights the importance of including pediatric ECT in the differential diagnosis of neck masses.
- Underscores the need for timely surgical intervention to prevent severe complications.
- Provides insights into the management of rare pediatric head and neck pathologies.
Abstract:
Ectopic cervical thymus (ECT) is a rare pediatric pathology usually with an asymptomatic course. In fewer cases, the patient may present with dyspnea, hoarseness, stridor, dysphagia and pain. The mass may present in cystic or solid forms. Solid forms are rare, constituting only 10% of all ECT cases and these are mostly symptomatic. We aimed to present the case of an infant with ECT in the submandibular region that led to shortness of breath. ECTs in the submandibular region are mostly solid and larger in size, and therefore, likely to result in compressive symptoms. In this case report, we tried to cover the important aspects of the diagnosis of ECT, its treatment, and discussed the results with a literature review. We additionally aimed to emphasize the importance of considering pediatric ECT in the differential diagnosis of pediatric neck mass as well as considering surgical excision to prevent serious consequences.
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