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Thymus Gland

*Thymus*

For medical students2 min readUpdated 2026-10-10

The thymus is an unpaired endocrine gland and a primary lymphoid organ of the immune system. It produces specific hormone-like substances that regulate immune responses, growth, and the body's adaptation.

Main rolePrimary lymphoid organ of the immune system
LocationAnterior and superior mediastinum
HistologyDivided into lobules with a cortex and medulla
Age-related changesTurns yellow with age due to adipose tissue accumulation

External Structure and Shape

Morphologically, the thymus is an asymmetric, elongated organ. In most cases, it consists of two closely apposed parts:

Both lobes are connected by a layer of loose connective tissue. The anterior surface of the organ is convex, while the posterior surface is concave. Anatomical variations exist: sometimes an additional intermediate part is located between the main lobes, and in rare cases, the gland may consist of three or even four lobes.

Topography and Syntopy

The topographic anatomy of the thymus is closely related to the fascial spaces of the thoracic cavity. The bulk of the organ lies in the anterior mediastinum.

The apex of the gland extends higher into the superior mediastinum, where it lies posterior to the manubrium and the upper part of the body of the sternum. This area is known in topographic anatomy as the thymic triangle. In newborns, the upper parts of the organ can extend beyond the superior mediastinum, reaching the thyroid gland. The inferior border of the thymus is usually projected at the level of the cartilage of the 3rd rib.

Syntopy (relations with neighboring organs):

Internal Structure (Microanatomy)

Externally, the thymus is covered by a thin connective tissue capsule. Trabeculae extend from this capsule deep into the organ, dividing the parenchyma into structural and functional units called lobules (lobuli thymi).

Each lobule has a clear zonation:

  1. Cortex (cortex thymi) — located at the periphery of the lobule. This zone is extremely rich in lymphocytes.
  2. Medulla (medulla thymi) — occupies the central part of the lobule. It contains epithelial cells and specific concentric structures known as thymic corpuscles (corpuscula thymica, or Hassall's corpuscles).

Functions and Age-Related Features

As a primary lymphoid organ, the thymus plays a key role in the development of the body's immune defenses. Its endocrine function involves the production of thymosins, which are hormone-like substances.

Effects of thymosins:

臓 The color of the gland changes throughout life. Initially, it has a grayish-pink hue, but with age, a natural process of involution occurs: the thymic tissue turns yellow due to the gradual accumulation of adipose tissue.

Mnemonic

To remember the layer arrangement within a lobule, imagine a tree: the cortex (cortex thymi) is always on the outside (periphery), while the heartwood/core (medulla, medulla thymi) is hidden in the center.

Frequently asked questions

Which vessels and nerves supply and innervate the thymus?

The blood supply to the thymus is provided by thymic branches, venous drainage goes into the unpaired thyroid plexus, and innervation is carried out by the vagus nerves, phrenic nerves, and sympathetic ganglia.

Blood supply and venous drainage:

  • Thymic branches (rr. thymici) — arise from the internal thoracic artery (a. thoracica interna) and the inferior thyroid artery (a. thyroidea inferior).
  • Pericardiacophrenic artery (a. pericardiacophrenica) and mediastinal branches (rr. mediastinales) — also contribute to blood inflow.
  • Unpaired thyroid venous plexus (plexus thyroideus impar) — collects venous blood from the organ.

Innervation:

  • Vagus nerves (nn. vagi).
  • Phrenic nerves (nn. phrenici).
  • Cervical sympathetic ganglia — send branches to the gland.
What lobes does the thymus consist of?

Normally, it consists of two asymmetric lobes—right and left—connected by loose connective tissue. Less commonly, intermediate lobes are present, increasing the total number to three or four.

Where is the bulk of the thymus located?

The bulk of the organ is located in the anterior mediastinum, and its apex is situated in the superior mediastinum (posterior to the manubrium of the sternum).

What are Hassall's corpuscles and where are they found?

These are specialized concentric structures (corpuscula thymica). They are located in the center of the thymic lobules within the medulla, alongside epithelial cells.

Why does the thymus change color with age?

In young individuals, the gland is grayish-pink, but with age, it turns yellow as its functional tissue is gradually replaced by adipose tissue (age-related involution).

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