Thymoma with superior vena caval encasement

Case contributed by Dr Domenico Nicoletti

Presentation

Dyspnoea, asthenia

Patient Data

Age: 75 years
Gender: Female
X-ray

Thymoma with infiltration vena cava superior

Enlargement profile right mediastinal

There is an anterior mediastinum soft tissue mass which encases both distal brachiocephalic veins and proximal superior vena cava. This mass heterogeneously enhances with foci of calcifications within. It has further invaded the lumen of superior vena cava. Thrombus also noted in the right pulmonary artery. Small thrombus also found in the most distal veins freniche pericardium. 
There are pulmonary metastases. 
Presence of artery lusoria.

CT guided biopsy result in keeping with a 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
Published: 11th Oct 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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