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Malignant thymoma (thymic carcinoma)

Case contributed by Dr Roberto Schubert

Presentation

Cough, chest pain, dyspnoea, and weight loss.

Patient Data

Age: 75

Gender: Female

From the case: Malignant thymoma (thymic carcinoma)

X-ray

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PA

Radioopaque mass in the left anterior and middle mediastinum. Left pleural effusion and high-riding diaphragm suggesting phrenic nerve palsy

From the case: Malignant thymoma (thymic carcinoma)

CT

C+ arterial phase

The mass shows polycyclic contours and bulges out against the S3 segment of the left lung. Heterogeneous enhancement after contrast. Large pleural and small pericardial effusions.

Case Discussion

At bronchoscopy, tumor invasion of the left S3 bronchus was found. Biopsy specimens were classified as thymic carcinoma (WHO type C). The extent of the disease was attributed stage IV according to the Masaoka system ¹.

References

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