Cervical thymic cysts

https://doi.org/10.1016/S0022-3468(89)80002-8Get rights and content

Four cases of cervical thymic cyst are described. Clinical and microscopic appearances are reviewed, with reference to its distinction from branchial cyst. The use of monoclonal antibodies to cytokeratin as a histologic aid to diagnosis is discussed.

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    As was noted in our series, most cystic cervical thymic tissues are found in the lower third of the anterior neck, extending deep to the sternocleidomastoid muscle, and are associated with the contents of the carotid sheath. They may extend into or be isolated to the tracheoesophageal groove, to the retropharynx, in the neck, the mediastinum, or both [1,5,14,17]. As seen in our series, most thymic cysts tend to be multi-locular, and contents vary from clear straw-colored fluid to semi-solid necrotic debris and blood degradation products [1,5].

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1

From the Departments of Histopathology and Surgery, Children's Hospital, Sheffield, England.

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