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좌측 경부 종대를 주소로 내원한 이소성 경부 흉선 1예

A Case of Aberrant Cervical Thymus Presented as Left Cervical Swelling

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초록

We report a case of aberrant cervical thymus in the left submandibular area of a three-month-old boy. On US scan and MR images, a well-marginated, 4 cm-sized solid mass along the left carotid sheath, anteromedial to the sternocleidomastoidmuscle and inferior to the submandibular gland, was seen. MR signal intensity of the mass showed that it was similar to that of normal thymus in the anterior mediastinum. Although a rare disease, ectopic thymus should be included in the differential diagnosis of cervical masses along the carotid sheath in infants.

Abstract

We report a case of aberrant cervical thymus in the left submandibular area of a three-month-old boy. On US scan and MR images, a well-marginated, 4 cm-sized solid mass along the left carotid sheath, anteromedial to the sternocleidomastoidmuscle and inferior to the submandibular gland, was seen. MR signal intensity of the mass showed that it was similar to that of normal thymus in the anterior mediastinum. Although a rare disease, ectopic thymus should be included in the differential diagnosis of cervical masses along the carotid sheath in infants.

참고문헌 (12)

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  7. Guba AM Jr, "Cervical presentation of thymic cysts", Am J Surg, 136(4), pp.430~436 (1978)
  8. Reiner M, "Cervical thymic cysts in children", Am J Surg, 139(5), pp.704~707 (1980)
  9. Wagner CW, "Respiratory complications in cervical thymic cysts", J Pediatr Surg, 23(7), pp.657~660 (1988)
  10. Kiyosue H, "MRI of cervical masses of thymic origin", JCAT, 18(2), pp.206~208 (1994)
  11. Baek CH, "Aberrant cervical thymus: a case report and review of literature", Int J Pediat Otorhinolaryngol, 41(2), pp.215~222 (1997)
  12. Kacker A, "Breuer, Ectopic thymus presenting as a solid submandibular neck mass in an infant: casereport and review of literature", Int J Pediatr Otorhinolaryngol, 49(3), pp.241~245 (1999)

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