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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]
[3] [6] [7] It causes neck swelling. [3] 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.
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.
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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 ...
A branchial cyst, a.k.a. a branchial cleft cyst, is a small, fluid-filled sac that an look like a lump under the skin on the side of your neck, according to the Cleveland Clinic. They can appear ...
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]
A thyroglossal cyst or thyroglossal duct cyst is a fibrous cyst that forms from a persistent thyroglossal duct. 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.
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