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Aspiration Cytology of Cervical Thymoma

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Jin Xian-Ji, ¼ÛÁÖ¿µ, ÃÖ¼®Áø, ±è·ç½Ã¾Æ, ¹ÚÀμ­, ÇÑÁö¿µ, ±èÁعÌ, ÁÖ¿µÃ¤,
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 ( Jin Xian-Ji ) 
ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø º´¸®Çб³½Ç

¼ÛÁÖ¿µ ( Song Ju-Young ) 
ÀÎÇÏ´ëÇб³º´¿ø º´¸®°úÇб³½Ç
ÃÖ¼®Áø ( Choi Suk-Jin ) 
ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
±è·ç½Ã¾Æ ( Kim Lucia ) 
ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
¹ÚÀμ­ ( Park In-Suh ) 
ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
ÇÑÁö¿µ ( Han Jee-Young ) 
ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
±èÁع̠( Kim Joon-Mee ) 
ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
ÁÖ¿µÃ¤ ( Chu Young-Chae ) 
ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç

Abstract


An ectopic cervical thymoma is an uncommon tumor of the neck displaying the same histologic features as a mediastinal thymoma. Because of its unusual location, this mass is often confused as originating from the thyroid. In this report we describe a case of cervical type AB thymoma. Aspiration cytologic smears were highly cellular and revealed irregular tissue fragments, cohesive sheets, and clusters of crowded epithelial cells intermingled with many small lymphocytes. The epithelial cells had oval and spindle shaped bland-looking nuclei and scant cytoplasm with indistinct cell borders. Mitosis, nuclear atypia, and necrosis were not observed. The cells were focally arranged in a nesting pattern. Many small lymphocytes, a few activated lymphocytes, and lymphoid tangles were seen in the background. A cytologic misdiagnosis of "possible carcinoma" was rendered. Therefore, ectopic thymoma should also be considered in fine needle aspiration cytology of a neck mass when the smear shows epithelial and lymphoid components.

Å°¿öµå

Thymoma; Cervical; Fine-needle aspiration cytology

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