Thymic drop metastases

Case contributed by Stefan Tigges
Diagnosis certain

Presentation

Status post prior thymoma resection.

Patient Data

Age: 60 years old.
Gender: Male
ct

Surgical suture material/clips anterior mediastinum from prior thymectomy. No definite anterior mediastinal recurrence, but extensive pleural implants represent drop metastases. Elevation left hemidiaphragm likely due to an AP window implant compromising the left phrenic nerve.

Case Discussion

Thymomas classicly spread to the pleura via so-called "drop metastases".

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