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The cause is usually a developmental abnormality arising in the early prenatal period, typically failure of obliteration of the second, third, and fourth branchial cleft, i.e. failure of fusion of the second branchial arches and epicardial ridge in lower part of the neck. Branchial cleft cysts account for almost 20% of neck masses in children. [1]
A common sign is a neck growth. It may be found at birth, or discovered later in an infant after an upper respiratory tract infection. [8] Cystic hygromas can grow very large and may affect breathing and swallowing. Some symptoms may include a mass or lump in the mouth, neck, cheek, or tongue. It feels like a large, fluid-filled sac.
A neck mass or neck lump is an ambiguous mass found in the neck area. There are many different possible causes, [1] including head and neck cancer [2] and congenital conditions like branchial anomalies and thyroglossal duct cysts. [3]
A branchial cyst, according to the Cleveland Clinic, is a small fluid-filled sac that may look like a lump under the skin on the side of the neck. It is considered one of the most common neck mass ...
Thyroglossal cysts can be defined as an irregular neck mass or a lump which develops from cells and tissues left over after the formation of the thyroid gland during developmental stages. [ 1 ] Thyroglossal cysts are the most common cause of midline neck masses and are generally located caudal to (below) the hyoid bone.
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An appropriate differential diagnosis depends upon location of the ectopic thymus. For cervical ectopic thymus, the differential diagnosis should include additional causes of neck masses. This includes common causes of neck masses in children, including: thyroglossal duct cyst. [6] [10] branchial cleft cyst. [10] dermoid cyst. [10]
Cervical thymic cyst is a very rare pathology that is often incidentally found due to its asymptomatic nature. The patient usually notices a neck mass that grows slowly which triggers them to see a clinician and be admitted to the hospital. [3] However, it can cause symptoms as it grows in size and compresses on other organs.
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