Ectopic cervical thymoma accompanied by Good's syndrome.
Ectopic cervical thymoma (ECT) is a rare tumor that is frequently misdiagnosed as a thyroid tumor or other malignancy. A 34-year-old male with a right palpable neck mass had been mistakenly diagnosed with T-cell lymphoblastic lymphoma even after an open biopsy. The atypical clinical course, including hypogammaglobulinemia, led us to the correct diagnosis; ECT accompanied by Good's syndrome (GS). After the intravenous infusion of gammaglobulin, tumor resection and a subsequent video-assisted thoracoscopic extended thymectomy were performed. The final diagnosis was type AB thymoma, Masaoka stage I. This report is, to the best of our knowledge, the first description of this extremely rare combination.
Department of General Thoracic Surgery, Osaka University Grad uate School of Medicine, Osaka, Japan.
Akihiro
A
Nagoya
Ryu
R
Kanzaki
Tomoyuki
T
Nakagiri
Masayoshi
M
Inoue
Yoshiyuki
Y
Susaki
Shinya
S
Inoue
Meinoshin
M
Okumura
D000328:Adult; D001706:Biopsy; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017074:Common Variable Immunodeficiency / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003951:Diagnostic Errors; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009367:Neoplasm Staging; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D054218:Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis; D011237:Predictive Value of Tests; D020775:Thoracic Surgery, Video-Assisted; D013934:Thymectomy; D013945:Thymoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013950:Thymus Gland; D013953:Thymus Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D005719:gamma-Globulins / Q000008:administration & dosage
D005719:gamma-Globulins