Thymoma arising in the wall of a thymic cyst.
A 54-year-old male, non smoker, began to suffer from persistent dyspnoea and fever. X-ray and CT scan showed a cystic lesion located in the left anterior mediastinum. This lesion was removed instead of the initially scheduled surgical resection with video-assisted thoracoscopic surgery (VATS) preceded by fine needle aspiration (FNA). A diagnosis of thymoma arising in the wall of thymic cyst was made. Such a rare tumour should be taken into consideration in treating patients with a cystic mediastinal lesion, before VATS and FNA.
Ascani
S
S
Institute of Pathologic Anatomy and Radiology, University of Perugia, St. Maria Hospital, Terni, Italy. s.ascani@aospterni.it
Carloni
A
A
Agostinelli
C
C
Martini
E
E
Bravi
I
I
Pileri
S A
SA
D044963:Biopsy, Fine-Needle; D000075202:Contraindications; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008297:Male; D008476:Mediastinal Cyst / Q000150:complications / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D020775:Thoracic Surgery, Video-Assisted; D013945:Thymoma / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013953:Thymus Neoplasms / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed