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If the patient is asymptomatic and the mass is identified based upon radiologic findings, biopsy and/or resection may be avoided. [6] [9] Surgical removal of the mass is the definitive treatment for ectopic thymus tissue that is causing symptoms. [4] It has been reported that the ectopic thymus tissue can transform into cancerous tissue. [4]
Males are more commonly affected. [6] Most cases occur in the first decade of life, as the thymus tends to atrophy after puberty. [3] This lesion usually affects the left side of the neck. [6] The cyst can be small as 1cm and as large as 26cm. The location can vary as well, from the angle of the mandible to as low as the mediastinum. [6]
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]
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]
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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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related to: best treatment to firm face and neck mass in children under 6 years young