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Case report
Rare thymopharyngeal duct cyst presentation in an adult patient
  1. Jessica Emilia Wahi1,
  2. Ruben Delgado2,
  3. Ana Maria Medina2,3 and
  4. Thomas Mesko1
  1. 1Department of Surgery, Mount Sinai Medical Center, Miami Beach, Florida, USA
  2. 2Department of Pathology, Mount Sinai Medical Center, Miami Beach, Florida, USA
  3. 3Florida International University Herbert Wertheim College of Medicine, Miami, Florida, USA
  1. Correspondence to Dr Jessica Emilia Wahi; jessica.e.wahi{at}gmail.com

Abstract

Retained thymic tissue may occur anywhere along the path of descent of the thymus. Cervical thymic cysts are a rare cause of benign neck masses. Thymopharyngeal duct cysts are thymic cysts that span the length of the neck and extend towards the mediastinum. These lesions are rare and classically have been described in paediatric patients. Here, we present the case of a 23-year-old woman with a left-sided neck mass, which was found to be a thymopharyngeal duct cyst. Multiple analytic modalities including the clinical presentation, imaging, operative findings and histology were required to confirm the diagnosis and are discussed below.

  • ear
  • nose and throat/otolaryngology
  • head and neck surgery

https://doi.org/10.1136/bcr-2020-240160

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    Footnotes

    • Contributors JW: conception and design, acquisition of data and drafting the article; RD: analysis and interpretation of data, revising the article critically for important intellectual content; AMM: analysis and interpretation of data, revising the article critically for important intellectual content; TM: conception and design, acquisition of data, analysis and interpretation of data, revising the article for critically for important intellectual content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.