Ülgen ÇELTİK, Emre DİVARCI, Zafer DÖKÜMCÜ, Sevinç KALIN, AHMET ÇELİK

Servikal ektopik timus: Yenidoğanda nadir bir boyun kitlesi

Servikal ektopik timus (SET) çocukluk çağı servikal kitlelerinin nadir nedenlerinden birisidir. Bu çalışmada kliniğimize yenidoğan döneminde servikal şişlik nedeni ile başvuran iki SET olgusunun sunulması amaçlandı. Yenidoğan döneminden itibaren sol üst servikal bölgede ağrısız şişlik ile başvuran iki olgu değerlendirildi. Her iki olguda, fiziksel muayenede; palpasyonda yumuşak, fluktuasyon vermeyen ağrısız şişlik mevcuttu. Olgulara malign kitlelerin ekartasyonu amacı ile doku örneklemesi planlandı. Kitleler tümü ile çıkarıldı. Patolojik inceleme sonucu ektopik timus dokusu olarak raporlandı. Her iki olgunun, operasyon sonrası izleminde herhangi bir yakınması mevcut değildi. SET servikal şişlik ile başvuran yenidoğan olgularda akılda bulundurulmalıdır. Nadir olması ve kesin tanıya kolay ulaşılamaması nedeni ile diğer tanıların ekartasyonu amacı ile doku örneklemesi planlanmalıdır.

Cervical ectopic thymus: A rare cervical mass in a newborn

Cervical ectopic thymus (CET) is a rare cause of cervical mass in childhood. The aim of this study is to present two CET cases that were referred to our clinic with cervical swelling in neonatal period. Two cases who had painless swelling in left upper cervical region beginning from the neonatal period were evaluated. In both cases, a soft nonfluctuant painless swelling in the palpation was detected in the physical examination. To exclude the malign mass, tissue sampling was planned. The masses were excised totally. As a result of pathological examination it was reported as ectopic thymus tissue. No complaint was recorded during the postoperative period. CET should be taken into consideration in the neonatal cases applying with cervical swelling. It is rare and not easy to establish a definitive diagnosis, tissue sampling should be considered for the exclusion of other diagnoses.

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