Cervical thymic cysts are rare lesions of neck mass often misdiagnosed clinically as branchial cleft cyst and are mostly diagnosed, pathologically after surgery. The authors applied surgical resection to a 34-year-old man with right upper neck mass, which was misdiagnosed preoperatively as a second branchial cleft cyst. The pathological tissue examination result showed that the patient was diagnosed with a cervical thymic cyst. The thymic cyst of the lateral neck has not been reported from adult in Korean. Herein, we present the case with review of the related literature.
Adult ; Branchial Region* ; Branchioma* ; Humans ; Mediastinal Cyst* ; Neck ; Thymus Gland

Pleomorphic adenoma is the most common benign neoplasm of the parotid gland and it accounts for approximately 80% of all reported tumor from parotid. Recurrence rate was noted as 20–45% and high risk factors related to recurrence were the following: over 40 years of age, women, over 30 mm mass size, below 10 mm safety margin, tumor puncture and tumor spillage during surgery, relation to the facial nerve, tumor site, surgical procedure. We experienced a 45-year-old woman who presented a huge left parotid mass. She had a huge parotid pleomorphic adenoma that was removed 18 years ago but had recurred 8 years ago. We removed the mass and obtained good postoperative results.
Adenoma, Pleomorphic* ; Facial Nerve ; Female ; Humans ; Middle Aged ; Parotid Gland ; Punctures ; Recurrence ; Risk Factors