Thymoma with superior vena caval encasement

Case contributed by Dr Domenico Nicoletti


Dyspnoea, asthenia

Patient Data

Age: 75
Gender: Female

Thymoma with infiltration vena cava superior

RX CHEST: enlargement profile right mediastinal

Chest TC with contrast 

Solid lesion with calcifications with enhancement in the anterior mediastinum. This lesion infiltrates the superior vena cava into the lumen of which detects the tumor thrombus. There is tumor thrombus in the right branch of the pulmonary artery and segmental branches. Small thrombus is found in the most distal veins freniche pericardium. There are pulmonary metastases. Presence of artery lusoria.

Guided tc biopsy : Thymoma

Case Discussion

About 90% of cancers that develop in the thymus are thymomas. These tumors originate in the epitelial cells lining the thyme and often grow slowly, rarely spread beyond the thymus itself. However, some thymomas are more aggressive and can spread to surronding tissues and organs (lung and pleura). Thymoma is a tumor that affects mainly in the age group between 40 and 60 years, with no significant differences between men and women.



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Case information

rID: 40189
Case created: 11th Oct 2015
Last edited: 12th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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