Thymic carcinoma

Case contributed by Dr Henry Knipe

Presentation

Chest pain and shortness of breath. D-dimer 4000.

Patient Data

Age: 35 years
Gender: Male
Modality: CT
Anterior mediastainl mass measuring soft tissue density with irregular margins. No lymphadenopathy. No pulmonary embolus. Lungs are clear.
Modality: Nuclear medicine

Moderate FDG uptake in the right anterior mediastinal mass. Uptake elsewhere is physiological with no evidence of remote disease. 

Case Discussion

The differential for this anterior mediastinal mass is lymphoma, germ cell tumour and thymoma. Given its homogeneous appearance, and that it is relatively small and lobulated a thymoma is most likely. 

The patient proceeded to resection of the mass, with histology demonstrating a thymic carcinoma that was completely excised.

There are no local aggressive features or metastatic disease on this CT to suggest the final diagnosis. 

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Case Information

rID: 49128
Case created: 11th Nov 2016
Last edited: 12th Nov 2016
Systems: Chest, Oncology
Inclusion in quiz mode: Included

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