Rapid enlargement of a mediastinal mass: Thymoma hemorrhage into a thymic cyst

被引:3
作者
Fujiwara T. [1 ]
Mizobuchi T. [1 ]
Noro M. [2 ]
Iwai N. [1 ]
机构
[1] Department of Chest Surgery, Matsudo City Hospital, Matsudo, Chiba 271-8511
[2] Department of Pathology, Matsudo City Hospital, Chiba
关键词
Multilocular thymic cyst; Rapid enlargement; Spontaneous hemorrhage; Thymoma;
D O I
10.1007/s11748-008-0278-z
中图分类号
学科分类号
摘要
A 52-year-old man was admitted to Matsudo City Hospital because of an anterior mediastinal mass. One month prior, when he suddenly suffered chest pain, computed tomography (CT) showed a 4 × 3 cm mass in the chest. On admission, the symptom disappeared. However, chest CT revealed rapid enlargement of the mass to 10 × 6 cm. Based on the CT findings, we suspected a tumor. Therefore, we performed a thymothymectomy. The mass, measuring 12 × 8 × 6 cm, contained a solid tumor and a fl uid-filled cyst. Pathology showed a thymoma and a multilocular thymic cyst. We speculated that hemorrhage from the thymoma spread into the multilocular thymic cyst and enlarged the mass. © 2008 The Japanese Association for Thoracic Surgery.
引用
收藏
页码:472 / 475
页数:3
相关论文
共 6 条
[1]  
Suster S., Rosai J., Multilocular thymic cyst: An acquired reactive process: Study of 18 cases, Am J Surg Pathol, 15, pp. 388-398, (1991)
[2]  
Davis Jr. R.D., Oldham Jr. H.N., Sabiston Jr. D.C., Primary cysts and neoplasms of the mediastinum: Recent changes in clinical presentation, methods of diagnosis, management, and results, Ann Thorac Surg, 44, pp. 229-237, (1987)
[3]  
Izumi H., Nobukawa B., Takahashi K., Kumasaka T., Miyamoto H., Yamazaki A., Et al., Multilocular thymic cyst associated with follicular hyperplasia: Clinicopathologic study of 4 resected cases, Hum Pathol, 36, pp. 841-844, (2005)
[4]  
Liang S.B., Ohtsuki Y., Sonobe H., Iwata J., Furihata M., Ido E., Et al., Multilocular thymic cysts associated with thymoma: A case report, Pathol Res Pract, 192, pp. 1283-1287, (1996)
[5]  
De Perrot M., Brundler M.A., Girardet C., Spiliopoulos A., Spontaneous hemorrhage of thymus and thymoma in adults, Eur J Cardiothorac Surg, 16, pp. 674-676, (1999)
[6]  
Kondo K., Miyoshi T., Sakiyama S., Shimosato Y., Monden Y., Multilocular thymic cyst associated with Sjögren's syndrome, Ann Thorac Surg, 72, pp. 1367-1369, (2001)