[Pericardiac tamponade revealing a lympho-epithelial thymoma (author's transl)].
An inaugural pericardiac tamponade performed on a 39 years old man, reveals a lympho-epithelial thymoma. The anatomic diagnosis first suggested by the radiography after evacuation of the effusion, is confirmed by the swab taken during the retroxiphoidal drainage. A 57 Gray cobaltotherapy was then performed. 18 months later, a satisfactory general state, allowed the patient to return to his professional activity. The evaluation of a tumourous residue by a tomodensitometry, is discussed at the light of a comparable observation confirming the efficiency of cobaltotherapy but, at the same time, its agressivity for such an important target volume. A previous surgical reduction, whenever possible, is then considered; an unthinkable eventuality in the reported observation.
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D013945:Thymoma / Q000150:complications*; D013953:Thymus Neoplasms / Q000150:complications*
Tamponnade péricardique révélatrice d'un thymome lympho-épithélial.