title: Single thymic gland metastasis from resected non-small-cell lung cancer.
abstract: Primary thymic tumors are rare, but secondary ones are exceptionally uncommon. We report the case of a single metastasis within the thymic gland from a lung adenocarcinoma that had been completely resected 3 years before. There was high diagnostic doubt because the thymic lesion was not associated with the recurrence of the paraneoplastic syndrome or the increased CEA levels described at the moment of the treatment of the primary tumor. The lesion was diagnosed and treated at the same time by transcervical thymectomy. At the one-year follow-up, the patient is alive and disease-free.
authors.affiliation: Unidad de Cirugía Torácica, Azienda Ospedaliero-Universitaria Maggiore della Carità, Universidad A. Avogadro, Novara, Italy. ottaviorena@libero.it
authors.forename: Ottavio
authors.initials: O
authors.lastname: Rena
authors.forename: Gian Mauro
authors.initials: GM
authors.lastname: Sacchetti
authors.forename: Antonio
authors.initials: A
authors.lastname: Ramponi
authors.forename: Alberto
authors.initials: A
authors.lastname: Roncon
authors.forename: Guido
authors.initials: G
authors.lastname: Baietto
authors.forename: Caterina
authors.initials: C
authors.lastname: Casadio
mesh_terms: D000230:Adenocarcinoma / Q000097:blood / Q000150:complications / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D018906:Antineoplastic Agents, Alkylating / Q000627:therapeutic use; D014408:Biomarkers, Tumor / Q000097:blood; D002272:Carcinoembryonic Antigen / Q000032:analysis; D002289:Carcinoma, Non-Small-Cell Lung / Q000556:secondary* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000097:blood / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D009944:Organoplatinum Compounds / Q000627:therapeutic use; D010257:Paraneoplastic Syndromes / Q000209:etiology; D012074:Remission Induction; D013934:Thymectomy; D013953:Thymus Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery
chemical_list: D018906:Antineoplastic Agents, Alkylating; D014408:Biomarkers, Tumor; D002272:Carcinoembryonic Antigen; D009944:Organoplatinum Compounds