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It is most frequently discovered as a soft mass or swelling in the neck of infants and children. [2] However, when symptoms do occur they are most commonly due to compression of nearby structures such as the trachea and esophagus. This can lead to hoarse voice, stridor, difficulty breathing and/or difficulty swallowing. [3] [4] Pain is uncommon ...
The mass is usually in the neck (hence the name "nuchal-type"), but it can be seen in the extremities, lumbosacral area, buttocks, and face. [2] [4] There is a strong association with diabetes mellitus and Gardner syndrome; in fact, it may be the initial manifestation of Gardner syndrome. [5]
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]
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.
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]
Fibromatosis colli (FMC), also termed sternocleidomastoid tumor of infancy, pseudotumor of infancy, [1] and infancy sternocleidomastoid pseudotumor, [2] is an uncommon (incidence: 0.4%–1.3% of live births), congenital tumor in one of the two sternocleidomastoid neck muscles although rare cases have presented with a FMC tumor in both sternocleidomastoid muscles. [3]
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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.