USMLE (Fach) / Immunology (Lektion)
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Thymus
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Located in the anteriorsuperior mediastinum. Site of T-cell differentiation and maturation.- Encapsulated.- Derived from the third pharyngeal pouch.- Lymphocytes of mesenchymal origin.
Cortex is dense with immature T cells.Medulla is pale with mature T cells and Hassal corpuscles containing epithelial reticular cells.
Normal neonatal thymus "sail-shaped" on CXR, involutes with age.
Hypoplastic in DiGeorge syndrome and severe combined immunodeficiency (SCID).
Thymoma – neoplasm of thymus. Associated with myasthenia gravis and superior cava syndrome.
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