Ektopični cervikalni timus čvrste strukture kod odojčeta

  • Aleksandar Vlahović University of Belgrade, Faculty of Medicine, Belgrade, Serbia
  • Milana Živković University Clinical Center of Serbia, Clinic for Burns, Plastic, and Reconstructive Surgery, Belgrade, Serbia
  • Velibor Majić Institute for Children’s Disease, Clinic for Pediatric Surgery, Podgorica, Montenegro
  • Zorka Badnjar-Ilić Institute for Children’s Disease, Clinic for Radiology, Podgorica, Montenegro
  • Ninoslav Begović University of Belgrade, Faculty of Medicine, Belgrade, Serbia
  • Ivan Dizdarević Institute for Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Department of Pediatric Cardiac Surgery, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP221205020V
Ključne reči: anomalije, dijagnoza, diferencijalna, odojče, hirurgija, operativne procedure, timus

Sažetak


Uvod. Ektopični cervikalni timus (ECT) nastaje kao posledica nepotpune migracije primordijuma timusa tokom embriogeneze. U najvećem broju slučajeva ECT je asimptomatski, međutim kod oko 10% bolesnika postoje različite vrste simptoma. Prikaz bolesnika. Četvoromesečni dečak je hospitalizovan u našoj ustanovi zbog prisustva velike izrasline na desnoj strani vrata, prisutne od rođenja, sa tendencijom rasta. Fizikalnim pregledom konstatovana je čvrsta, bezbolna, meka, delimično pokretna masa nepravilnog kružnog oblika na desnoj strani vrata, ispred prednje ivice sternokleidomastoidnog mišića, iza parotidne žlezde i iznad karotidne lože. Koža iznad izrasline bila je nepromenjena. Dimenzije mase bile su 40 × 32 × 15 mm. Na osnovu kliničkog i ultrasonografskog nalaza, kao i nalaza magnetne rezonance, postavljena je sumnja da se radi o tkivu ECT. Promena je odstranjena hirurškim putem. Patohistološkim pregledom potvrđeno je prisustvo ECT, sa Hasalovim korpuskulima u meduli. Postoperativni tok protekao je uredno i rana je dobro zarasla. Na redovnim kliničkim, imunološkim i ultrazvučnim kontrolama u periodu od šest meseci registrovan je uredan nalaz. Zaključak. Kongenitalni ECT je retka kongenitalna anomalija koja se, međutim, mora uzeti u obzir prilikom razmatranja diferencijalne dijagnoze cervikalnih tumorskih masa.

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Objavljeno
2023/09/29
Broj časopisa
Vol. 80 Br. 09 (2023): Vojnosanitetski pregled
Rubrika
Prikaz bolesnika