Abstract
Thymic tumors are rare neoplasms that arise in the anterior mediastinum. The Incidence of ectopic cervical thymoma is very less. A 36-year-old female presented with a swelling in the front of the neck for the duration of around 1 year with a cytology report suggestive of lymphoma. She underwent positron emission tomography/computed tomography scan which showed only low-grade fluorodeoxyglucose uptake in the left neck node, no evidence of disease elsewhere. She underwent ultrasound-guided Tru-cut biopsy which was suggestive of round cell tumor favoring lymphoproliferative disorder which needed immunohistochemistry (IHC) for further confirmation. IHC was confirmative of thymoma, for which patient underwent surgery.. Final histology report was of Thymoma AB type, MASOKA Stage IIa. This case briefs about the diagnostic challenge in a case of neck swelling, for which none of the differential diagnosis was correlated. Surgery remains the mainstay of treatment for thymoma once the tissue diagnosis is confirmed.
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