Thymic small cell carcinoma associated with pulmonary squamous cell carcinoma.
A 63-year-old man presented with dyspnea on effort. Chest computed tomography showed an anterior mediastinal mass and a lung mass in the right lower lobe. Thallium scintigraphy revealed accumulation in the mediastinal mass. Therefore, under diagnosis of invasive thymoma or thymic carcinoma associated with suspected lung cancer, exploratory right thoracotomy was undertaken through a median sternotomy with video-assisted thoracoscopic support. The lung mass was intraoperatively diagnosed as squamous cell carcinoma. Right lower lobectomy and total thymectomy were then carried out without additional incision. Thymic small cell carcinoma was diagnosed; therefore the patient received 50 Gy of irradiation to the mediastinum. Ten months after surgery the patient is alive without recurrence.
Iwata
Takashi
T
Department of Thoracic Surgery, Osaka City University Hospital, Osaka, Japan. taiwata@med.osaka-cu.ac.jp
Inoue
Kiyotoshi
K
Mizuguchi
Shinjiro
S
Morita
Ryuhei
R
Tsukioka
Takuma
T
Suehiro
Shigefumi
S
D018288:Carcinoma, Small Cell / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D011013:Pneumonectomy; D011878:Radiotherapy; D019616:Thoracic Surgical Procedures; D013934:Thymectomy; D013953:Thymus Neoplasms / Q000628:therapy*