Miscellaneous Lesions

Other tumours that may appear as cervical cysts are cystic neurogenic neoplasms and cervical thymomas. In the neck, the most common locations for neuromas with cystic degeneration are along the course of the vagus nerve or the cervical sympathetic chain [4]. Cervical thymomas are classified as being one of four types:

1. Ectopic hamartomatous thymoma,

2. Cervical thymoma,

3. Spindle epithelial tumour with thymus-like differentiation (SETTLE),

4. Carcinoma showing thymus-like differentiation (CASTLE).

Of these, the first is benign and the second can be locally aggressive. The third and fourth types are malignant [18].

Infectious processes often simulate cervical cysts. Such infections can be bacterial, fungal, parasitic, or viral [46, 104, 114]. Amyloidosis and carotid artery aneu-rysms have been reported to mimic cervical cystic tumours [24, 35].

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