title: Thymic carcinoma presenting as atypical chest pain.
abstract: A 58-year-old woman with a 2-month history of atypical chest pain was referred to the chest pain clinic by the general practitioner. Exercise stress test was positive and subsequent coronary angiogram revealed significant triple vessel disease with left ventricular impairment requiring a coronary artery bypass graft (CABG). The patient had a chest X-ray as part of the preoperative work up. Chest X-ray revealed a large anterior mediastinal mass. Subsequent thorax CT revealed a 7.2 cm anterior mediastinal mass. CT-guided biopsy of the mass revealed the diagnosis of a poorly differentiated thymic basaloid carcinoma. The patient was successfully treated with concomitant surgery involving complete resection of the mass and a CABG procedure.
authors.affiliation: Department of Cardiothoracic Surgery, Galway University Hospital, Galway, Ireland.
authors.forename: Sadiq
authors.initials: S
authors.lastname: Siddiqui
authors.affiliation: Department of Surgery, Galway University Hospital, Galway, Ireland.
authors.forename: Tara
authors.initials: T
authors.lastname: Connelly
authors.affiliation: Department of Cardiothoracic Surgery, Galway University Hospital, Galway, Ireland.
authors.forename: Luther
authors.initials: L
authors.lastname: Keita
authors.affiliation: Department of Oncology, Galway University Hospital, Galway, Ireland.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Blazkova
authors.affiliation: Department of Cardiothoracic Surgery, Galway University Hospital, Galway, Ireland.
authors.forename: Dave
authors.initials: D
authors.lastname: Veerasingam
mesh_terms: D002280:Basal Cell Carcinoma / Q000175:diagnosis* / Q000601:surgery; D002637:Chest Pain / Q000209:etiology*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013953:Thymus Neoplasms / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome