Abstract

Ectopic cervical thymoma is rare and is often misdiagnosed as a thyroid tumor or other malignancy. Ectopic thymic tissue can be found along the entire thymic descent path during embryogenesis. However, a thymoma arising from such ectopic thymic tissue is extremely rare. Herein we report a patient with ectopic cervical thymoma and myasthenia gravis (MG) and discuss the management.

Highlights

  • Ectopic cervical thymomas are very rare and often present as palpable neck masses

  • Ectopic cervical thymoma presenting in patients with myasthenia gravis (MG) is even rarer and only two other cases have been reported in the literature [1,2]

  • We present a case of ectopic cervical thymoma associated with MG

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Summary

Background

Ectopic cervical thymomas are very rare and often present as palpable neck masses. Ectopic cervical thymoma presenting in patients with MG is even rarer and only two other cases have been reported in the literature [1,2]. We present a case of ectopic cervical thymoma associated with MG. A physical examination revealed a palpable cervical mass. Other laboratory examinations were unremarkable, including thyroid function tests and tests for autoimmune diseases. She was diagnosed with MG and received pyridostigmine treatment (180 mg/day). Computed tomography (CT) of her chest revealed one well- circumscribed, homogeneous mass of soft tissue measuring 2.6 × 2.5 × 1.6 cm at the lower pole of the left thyroid gland (Figure 1).

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19. Masaoka A
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